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Provider network replaces 'old way' of managed care. 提供者网络取代了管理式医疗的“旧方式”。
Managed care strategies (Atlanta, Ga.) Pub Date : 1997-06-01
{"title":"Provider network replaces 'old way' of managed care.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The provider-sponsored Yellowstone Community Health Plan in Billings, MT, has discovered success by breaking many of the traditional rules in setting up a capitated insurance product. Key is to hold all parties accountable and to dissolve historic communication barriers.</p>","PeriodicalId":80055,"journal":{"name":"Managed care strategies (Atlanta, Ga.)","volume":"5 6","pages":"67-8"},"PeriodicalIF":0.0,"publicationDate":"1997-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21039630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Expected HMO premium increase: more money for hospitals, physicians? 预期HMO保费增加:医院和医生将获得更多资金?
Managed care strategies (Atlanta, Ga.) Pub Date : 1997-06-01
{"title":"Expected HMO premium increase: more money for hospitals, physicians?","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Lagging HMO revenues and profits over the past few years have resulted in declining or stagnant reimbursement rates paid to providers nationally. Over the next year, however, average national premium rates are expected to rise, giving HMOs more financial flexibility and providers reason to be cautiously optimistic about possible increases paid to hospitals and physicians.</p>","PeriodicalId":80055,"journal":{"name":"Managed care strategies (Atlanta, Ga.)","volume":"5 6","pages":"61-4"},"PeriodicalIF":0.0,"publicationDate":"1997-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21039816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Is managed care diverting money for patient care? 管理式医疗是否挪用了用于病人护理的资金?
Managed care strategies (Atlanta, Ga.) Pub Date : 1997-06-01
{"title":"Is managed care diverting money for patient care?","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80055,"journal":{"name":"Managed care strategies (Atlanta, Ga.)","volume":"5 6","pages":"64, 69"},"PeriodicalIF":0.0,"publicationDate":"1997-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21039817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Self-funded employers a ripe market if you accept risk. 如果你愿意承担风险，自筹资金的雇主是一个成熟的市场。
Managed care strategies (Atlanta, Ga.) Pub Date : 1997-05-01
{"title":"Self-funded employers a ripe market if you accept risk.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Direct contracts with self-funded employers are an often overlooked market for mature PHOs seeking additional covered lives. While such ventures often require additional PHO infrastructure, the financial rewards can be significant for those up to the challenge.</p>","PeriodicalId":80055,"journal":{"name":"Managed care strategies (Atlanta, Ga.)","volume":"5 5","pages":"53-4"},"PeriodicalIF":0.0,"publicationDate":"1997-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21039292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pediatric PHO requires strong heart, good partner. 小儿PHO需要坚强的心脏，好的伙伴。
Managed care strategies (Atlanta, Ga.) Pub Date : 1997-05-01
{"title":"Pediatric PHO requires strong heart, good partner.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As states convert Medicaid into managed care, pediatric PHOs must change their operating dynamics to meet the challenges and take advantage of the emerging opportunities. One of the biggest questions these PHOs face is whether to start their own HMOs and risk alienating existing payers.</p>","PeriodicalId":80055,"journal":{"name":"Managed care strategies (Atlanta, Ga.)","volume":"5 5","pages":"55-6"},"PeriodicalIF":0.0,"publicationDate":"1997-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21039293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Getting wired can link both care and coverage. 联网可以将护理和覆盖范围联系起来。
Managed care strategies (Atlanta, Ga.) Pub Date : 1997-05-01
{"title":"Getting wired can link both care and coverage.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80055,"journal":{"name":"Managed care strategies (Atlanta, Ga.)","volume":"5 5","pages":"52, 57"},"PeriodicalIF":0.0,"publicationDate":"1997-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21039291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Connected information networks take the paper burden off your shoulders. 互联的信息网络减轻了你肩上的纸张负担。
Managed care strategies (Atlanta, Ga.) Pub Date : 1997-05-01
{"title":"Connected information networks take the paper burden off your shoulders.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Electronic transfer of data within health systems and between offsite facilities, including payers, is becoming a cost-effective strategy for members of the Brookfield-based Wisconsin Health Information Network. The intranet technology is particularly well-suited for managed care because it generates even greater efficiencies and allows electronic communication between newly integrated health system partners.</p>","PeriodicalId":80055,"journal":{"name":"Managed care strategies (Atlanta, Ga.)","volume":"5 5","pages":"49-51; suppl 1 p."},"PeriodicalIF":0.0,"publicationDate":"1997-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21039290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
To blaze the best trail, get physicians to lead. 要开辟最好的道路，就要让医生来领导。
Managed care strategies (Atlanta, Ga.) Pub Date : 1997-04-01
{"title":"To blaze the best trail, get physicians to lead.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Global packaging of medical services can potentially save physician-hospital organizations millions of dollars annually. Key is to aggressively involve physicians in structuring the program.</p>","PeriodicalId":80055,"journal":{"name":"Managed care strategies (Atlanta, Ga.)","volume":"5 4","pages":"43-4"},"PeriodicalIF":0.0,"publicationDate":"1997-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21038267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Don't let COBRA cut your economic lifeline. 不要让COBRA切断你的经济命脉。
Managed care strategies (Atlanta, Ga.) Pub Date : 1997-04-01
{"title":"Don't let COBRA cut your economic lifeline.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80055,"journal":{"name":"Managed care strategies (Atlanta, Ga.)","volume":"5 4","pages":"39-40"},"PeriodicalIF":0.0,"publicationDate":"1997-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21038265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Looking to save millions each year? Try global pricing. 想每年节省数百万美元?试试全球定价。
Managed care strategies (Atlanta, Ga.) Pub Date : 1997-04-01
{"title":"Looking to save millions each year? Try global pricing.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Global pricing is gaining in popularity as managed care payers look for efficient and innovative ways too provide care. Properly structuring global deals requires physician-hospital organizations to accurately define what services they are efficient at providing and also proving to the payer that they have the administrative and clinical ability to effectively manage global deals.</p>","PeriodicalId":80055,"journal":{"name":"Managed care strategies (Atlanta, Ga.)","volume":"5 4","pages":"41-3"},"PeriodicalIF":0.0,"publicationDate":"1997-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21038266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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