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Public sector contracting report : the monthly guide to Medicare and Medicaid managed care最新文献

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Home visits by physicians improve care, reduce utilization, cut costs under Medicare risk. 医生的家访改善了护理，降低了利用率，降低了医疗保险风险下的成本。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1998-05-01
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引用次数: 0
Use caution before taking on claims processing. 在处理索赔之前要谨慎。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1998-05-01
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引用次数: 0
Focus on proactive care management to improve quality, produce savings in Medicaid risk. 专注于积极主动的护理管理，以提高质量，节省医疗补助风险。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1998-04-01
{"title":"Focus on proactive care management to improve quality, produce savings in Medicaid risk.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Graduating to Medicaid preventive care management: After nearly 15 years in Medicaid risk contracting, Arizona health system's Medicaid plan discovers that acute care management doesn't cut it anymore, and moves toward proactive preventive care management that's already producing better outcomes and is expected to save millions.</p>","PeriodicalId":80144,"journal":{"name":"Public sector contracting report : the monthly guide to Medicare and Medicaid managed care","volume":"4 4","pages":"57-61"},"PeriodicalIF":0.0,"publicationDate":"1998-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21051287","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
Compare your Medicare utilization to these geographic, DRG-based benchmarks. 将你的医疗保险利用率与这些地理上的、基于drg的基准进行比较。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1998-04-01
{"title":"Compare your Medicare utilization to these geographic, DRG-based benchmarks.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Data File: Medicare inpatient utilization benchmarks. Actuarial consultants Milliman & Robertson find 53% of Medicare inpatient bed days nationally are medically unnecessary or better spent in other health care settings. Here are benchmark data on inpatient admission and bed days per 1,000 members in optimally managed health systems.</p>","PeriodicalId":80144,"journal":{"name":"Public sector contracting report : the monthly guide to Medicare and Medicaid managed care","volume":"4 4","pages":"61-3"},"PeriodicalIF":0.0,"publicationDate":"1998-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21051288","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
New partnerships not always a match made in heaven. 新的伙伴关系并不总是天作之合。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1998-04-01
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引用次数: 0
Alabama hospital learns the hard way how not to enter Medicare risk contracting arena. 阿拉巴马医院学会了如何不进入医疗保险风险承包领域。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1998-04-01
{"title":"Alabama hospital learns the hard way how not to enter Medicare risk contracting arena.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Jumping into Medicare risk without a life preserver: What happens when a provider enters a Medicare risk contract with no real case management program? It loses lots of money, as this Alabama provider has learned the hard way. Find out what this provider learned after losing millions--and how officials are correcting some fatal flaws.</p>","PeriodicalId":80144,"journal":{"name":"Public sector contracting report : the monthly guide to Medicare and Medicaid managed care","volume":"4 4","pages":"54-7"},"PeriodicalIF":0.0,"publicationDate":"1998-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21051286","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
PSO solvency standards application issued by HCFA. HCFA发布的PSO偿付能力标准申请。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1998-04-01
{"title":"PSO solvency standards application issued by HCFA.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80144,"journal":{"name":"Public sector contracting report : the monthly guide to Medicare and Medicaid managed care","volume":"4 4","pages":"63"},"PeriodicalIF":0.0,"publicationDate":"1998-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21051289","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
Providers could find pot of gold by pursuing the right Medicare contracting alternative. 供应商可以通过追求正确的医疗保险合同替代方案来找到一桶金。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1998-03-01
{"title":"Providers could find pot of gold by pursuing the right Medicare contracting alternative.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Develop a Medicare risk strategy based on your organization's strengths: If you think your only choice is to develop a PSO or remain a simple contractor, guess again. There are lots of strategic and contracting options for providers seeking to boost their profitability and gain more control over their Medicare lives. Learn how to evaluate your market position and strategies for contracting success.</p>","PeriodicalId":80144,"journal":{"name":"Public sector contracting report : the monthly guide to Medicare and Medicaid managed care","volume":"4 3","pages":"41-5"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21049483","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 get burned by emergency claim rejections. 不要因为紧急索赔被拒绝而生气。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1998-03-01
{"title":"Don't get burned by emergency claim rejections.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80144,"journal":{"name":"Public sector contracting report : the monthly guide to Medicare and Medicaid managed care","volume":"4 3","pages":"33-7"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21048328","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
Simplified, one-on-one asthma education cuts Medicaid utilization up to 71%. 简化的一对一哮喘教育将医疗补助的使用率降低了71%。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1998-03-01
{"title":"Simplified, one-on-one asthma education cuts Medicaid utilization up to 71%.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Medicaid asthma program slashes utilization, costs: After seeing hospital costs for asthma patients running as high as $500,000 a month, Hartford (CT) Hospital launched its own asthma education program for Medicaid members that's cut ER visits in half and hospital admissions by more than two-thirds. Learn why this person-to-person program works.</p>","PeriodicalId":80144,"journal":{"name":"Public sector contracting report : the monthly guide to Medicare and Medicaid managed care","volume":"4 3","pages":"38-40"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21048329","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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