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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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Hospitalist model holds potential for big bed day reductions, huge savings in Medicare risk. 住院医生模式有可能减少每天的床位，大大节省医疗保险风险。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1999-01-01
{"title":"Hospitalist model holds potential for big bed day reductions, huge savings in Medicare risk.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Can you cut your Medicare risk inpatient bed days in half? Proponents of hospitalist programs say you can, and you can claim big savings--some as high as the upper $20s PMPM--when you apply the model to Medicare risk. Find out how to generate such savings, and learn from the experience of the Riverside Physician Network, a California IPA that uses hospitalists to care for its 10,200 seniors.</p>","PeriodicalId":80144,"journal":{"name":"Public sector contracting report : the monthly guide to Medicare and Medicaid managed care","volume":"5 1","pages":"11-5"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21214090","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
Hospital-based system uses hands-on education program to improve senior care. 以医院为基础的系统采用实践教育计划来改善老年护理。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1998-12-01
{"title":"Hospital-based system uses hands-on education program to improve senior care.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Want to improve your clinical performance? Learn how to conduct quality improvement projects like Henry Ford Health System in Detroit. And see how one geriatric nurse changed how her hospital cares for seniors with urinary tract infections.</p>","PeriodicalId":80144,"journal":{"name":"Public sector contracting report : the monthly guide to Medicare and Medicaid managed care","volume":"4 12","pages":"182-5"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21208513","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
High disenrollment rates persist among Medicare risk plans. 在医疗保险风险计划中，辍学率居高不下。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1998-12-01
{"title":"High disenrollment rates persist among Medicare risk plans.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Data File: Would you expect to succeed in Medicare risk if your plan had a 71% annual disenrollment rate? The U.S. General Accounting Office conducts another study on beneficiary disenrollment from Medicare plans and finds high annual disenrollment rates still persist.</p>","PeriodicalId":80144,"journal":{"name":"Public sector contracting report : the monthly guide to Medicare and Medicaid managed care","volume":"4 12","pages":"187-9"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21208515","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
Medicare plans to measure, report provider performance. 医疗保险计划衡量和报告医疗服务提供者的表现。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1998-12-01
{"title":"Medicare plans to measure, report provider performance.","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 12","pages":"177-82"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21208511","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 risk-adjusted Medicare payment system promises more accurate patient profiles. 新的风险调整医疗保险支付系统承诺更准确的患者档案。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1998-12-01
{"title":"New risk-adjusted Medicare payment system promises more accurate patient profiles.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Use your knowledge of PIP-DCGs to bolster rate negotiations with your plan. A researcher with experience in operating a plan under Medicare's new risk-adjusted payment methodology reveals what you need to know about principal inpatient diagnostic cost groups.</p>","PeriodicalId":80144,"journal":{"name":"Public sector contracting report : the monthly guide to Medicare and Medicaid managed care","volume":"4 12","pages":"185-7"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21208514","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
Rate cuts, lack of state action kill Medicaid-only PSO. 降息，缺乏政府行动扼杀了只有医疗补助的PSO。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1998-12-01
{"title":"Rate cuts, lack of state action kill Medicaid-only PSO.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Providers learn from a Medicaid plan that didn't survive. When the University of Chicago started its Family First Medicaid plan, that health system thought it could retain its Medicaid patients by offering members a good benefit package with top-notch customer service, and even attract more patients when the state went to mandatory managed care enrollment. But two years later, the provider-sponsored plan is gone. Find out what went wrong.</p>","PeriodicalId":80144,"journal":{"name":"Public sector contracting report : the monthly guide to Medicare and Medicaid managed care","volume":"4 12","pages":"189-91"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21208516","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 capitation survey reveals declines in provider payment, lower Medicare utilization. 新的人均调查显示提供者支付下降，较低的医疗保险利用率。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1998-11-01
{"title":"New capitation survey reveals declines in provider payment, lower Medicare utilization.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Data File: Here's an analysis of some exclusive data from the 1998 Capitation Survey, conducted by the publishers of PSCR. Responding providers report declines or skimpy increases in their Medicare risk payments, while Medicare utilization decreased compared with last year.</p>","PeriodicalId":80144,"journal":{"name":"Public sector contracting report : the monthly guide to Medicare and Medicaid managed care","volume":"4 11","pages":"169-71"},"PeriodicalIF":0.0,"publicationDate":"1998-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21058650","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
Administrative benchmarks for Medicare, Medicaid HMOs. 医疗保险，医疗补助hmo的管理基准。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1998-11-01
{"title":"Administrative benchmarks for Medicare, Medicaid HMOs.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Plus, check out benchmark data on Medicare and Medicaid administrative costs. Every provider knows that HMOs take a slice of the Medicare or Medicaid premium for their administrative costs before they determine provider capitation. But how much does administration really cost? Here's some PMPM data from a study by the Sherlock Company.</p>","PeriodicalId":80144,"journal":{"name":"Public sector contracting report : the monthly guide to Medicare and Medicaid managed care","volume":"4 11","pages":"171-2"},"PeriodicalIF":0.0,"publicationDate":"1998-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21058651","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
Expect pressure for payment cuts from Medicare risk plans. 预计医疗保险风险计划支付削减的压力。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1998-11-01
{"title":"Expect pressure for payment cuts from Medicare risk plans.","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 11","pages":"161-6"},"PeriodicalIF":0.0,"publicationDate":"1998-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21058648","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 create coordinated care system to help cover Birmingham's uninsured. 供应商创建了协调的医疗系统，以帮助覆盖伯明翰的无保险人群。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1998-11-01
{"title":"Providers create coordinated care system to help cover Birmingham's uninsured.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Providers strive to manage the uninsured themselves. Providers in Birmingham, AL, have partnered with a public hospital to better manage patients with no insurance coverage, and in the process have spread the cost of uncompensated care. See how Cooper Green Hospital leads the way.</p>","PeriodicalId":80144,"journal":{"name":"Public sector contracting report : the monthly guide to Medicare and Medicaid managed care","volume":"4 11","pages":"166-9"},"PeriodicalIF":0.0,"publicationDate":"1998-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21058649","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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