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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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Medicare members like plans, providers, but could be happier. 医疗保险的成员喜欢计划和供应商，但他们可能会更快乐。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1999-03-01
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引用次数: 0
Provider plan in Medicare risk shares experience, offers advice. 提供者计划在医疗保险风险分享经验，提供建议。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1999-03-01
{"title":"Provider plan in Medicare risk shares experience, offers advice.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Sound advice from a survivor. Yellowstone Community Health Plan in Billings, MT, is one of the few rural Medicare Choices demonstration programs still operating. Leaders of this provider-sponsored HMO reveal what all providers need to know about the universal problems in Medicare risk and transitioning into Medicare+Choice.</p>","PeriodicalId":80144,"journal":{"name":"Public sector contracting report : the monthly guide to Medicare and Medicaid managed care","volume":"5 3","pages":"38-40"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21221422","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 system uses contracts with providers, plans to shape its role in managed Medicaid. 儿科系统使用与供应商的合同，计划塑造其在医疗补助管理中的角色。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1999-03-01
{"title":"Pediatric system uses contracts with providers, plans to shape its role in managed Medicaid.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Case study: </strong>A pediatric provider system seeks control in managed Medicaid. By creating its own provider network, and making some unusual contracting arrangements, Cook Children's Health Care System in Fort Worth, TX, has lowered utilization and even paid bonuses to physicians under its first full-risk contracts with three Medicaid plans. See how this system's providers set themselves up to succeed.</p>","PeriodicalId":80144,"journal":{"name":"Public sector contracting report : the monthly guide to Medicare and Medicaid managed care","volume":"5 3","pages":"40-2"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21221423","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
Repeated ER visits, admissions of frail seniors signal need for social case management. 反复的急诊室就诊，体弱多病的老年人入院表明需要社会个案管理。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1999-02-01
{"title":"Repeated ER visits, admissions of frail seniors signal need for social case management.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Seeing repeated ER visits and hospital admissions by your Medicare risk seniors? Try using social workers to case manage them. Two IPAs in California reveal how using a social work case management model can help reduce utilization--possibly up to 50%.</p>","PeriodicalId":80144,"journal":{"name":"Public sector contracting report : the monthly guide to Medicare and Medicaid managed care","volume":"5 2","pages":"21-4"},"PeriodicalIF":0.0,"publicationDate":"1999-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21215093","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
Rural providers have tough row to hoe if they jump into Medicaid risk too quickly. 如果农村的医疗服务提供者过快地加入医疗补助计划，他们将面临严峻的挑战。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1999-02-01
{"title":"Rural providers have tough row to hoe if they jump into Medicaid risk too quickly.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Learn some lessons in rural managed Medicaid from a provider-owned plan. Upper Peninsula Health Plan, based in Marquette, MI, discovered that introducing managed care to providers through their own rural Medicaid plan is full of surprises. Find out what to expect--and what to avoid--from a plan that's learning the hard way.</p>","PeriodicalId":80144,"journal":{"name":"Public sector contracting report : the monthly guide to Medicare and Medicaid managed care","volume":"5 2","pages":"24-7"},"PeriodicalIF":0.0,"publicationDate":"1999-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21214970","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
Senior community blazes trail as Medicare risk provider. 老年社区成为医疗保险风险提供者。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1999-02-01
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引用次数: 0
Medicare benchmark data on hospital inpatient charges. 医疗保险住院收费基准数据。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1999-02-01
{"title":"Medicare benchmark data on hospital inpatient charges.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Data File: Here's some benchmark data on Medicare lengths of stay and average hospital charges from the Louisville, KY-based Data Advantage Corp. Providers can use the data to help determine their competitiveness and better assess discounts sought by Medicare risk plans.</p>","PeriodicalId":80144,"journal":{"name":"Public sector contracting report : the monthly guide to Medicare and Medicaid managed care","volume":"5 2","pages":"27-9"},"PeriodicalIF":0.0,"publicationDate":"1999-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21214971","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
Look for changes to your Medicare risk contract in 1999. 请留意1999年医疗保险风险合同的变化。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1999-01-01
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引用次数: 0
Clothing exchanges for Medicaid members boost immunizations, encourage well-child visits. 医疗补助计划成员的衣服交换可以提高免疫力，鼓励健康儿童就诊。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1999-01-01
{"title":"Clothing exchanges for Medicaid members boost immunizations, encourage well-child visits.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Want your Medicaid members to get their vaccinations and well-child visits? Try encouraging them with an incentive system that offers something they can use, like children's clothing. Arizona Physicians IPA Inc., a Phoenix-based Medicaid managed care organization, uses clothing exchanges to encourage preventive utilization and give members access to community outreach programs.</p>","PeriodicalId":80144,"journal":{"name":"Public sector contracting report : the monthly guide to Medicare and Medicaid managed care","volume":"5 1","pages":"6-8"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21214091","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
MedPac data dispel myths, outline trends in Medicare risk contracting. MedPac数据消除了神话，概述了医疗保险风险承包的趋势。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1999-01-01
{"title":"MedPac data dispel myths, outline trends in Medicare risk contracting.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80144,"journal":{"name":"Public sector contracting report : the monthly guide to Medicare and Medicaid managed care","volume":"5 1","pages":"8-10"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21214092","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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