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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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Colorado providers prove safety net's place in Medicaid risk. 科罗拉多州的医疗服务提供者证明了安全网在医疗补助风险中的地位。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1998-09-01
{"title":"Colorado providers prove safety net's place in Medicaid risk.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>At least one system in Denver is proof that safety net providers can succeed in Medicaid risk. Find out how one provider and its partners went from fearing managed care to specializing in it.</p>","PeriodicalId":80144,"journal":{"name":"Public sector contracting report : the monthly guide to Medicare and Medicaid managed care","volume":"4 9","pages":"138-41"},"PeriodicalIF":0.0,"publicationDate":"1998-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21056073","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
Can hybrid Medicare plan solve utilization woes? 混合型医疗保险计划能解决利用率问题吗?
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1998-09-01
{"title":"Can hybrid Medicare plan solve utilization woes?","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Reducing inpatient hospitalizations as a way to control senior members' costs causes outpatient utilization to rise. The answer may lie in creating a hybrid Medicare plan that combines managed care with medical savings accounts. Learn more about the kinds of plans that may exist in the future.</p>","PeriodicalId":80144,"journal":{"name":"Public sector contracting report : the monthly guide to Medicare and Medicaid managed care","volume":"4 9","pages":"135-8"},"PeriodicalIF":0.0,"publicationDate":"1998-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21056072","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 'mega reg' offers providers mixed bag. 医疗保险“超级注册”为医疗服务提供者提供了好坏参半的服务。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1998-09-01
{"title":"Medicare 'mega reg' offers providers mixed bag.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Although the Medicare+Choice regs mostly cover how plans will operate, they also include provisions that will directly, and indirectly, affect Medicare risk providers. Find out how some of these rules might impact you.</p>","PeriodicalId":80144,"journal":{"name":"Public sector contracting report : the monthly guide to Medicare and Medicaid managed care","volume":"4 9","pages":"133-5"},"PeriodicalIF":0.0,"publicationDate":"1998-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21056071","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
Potential for provider profits exists under one model. 在一种模式下存在提供商利润的潜力。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1998-08-01
{"title":"Potential for provider profits exists under one model.","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 8","pages":"113-7"},"PeriodicalIF":0.0,"publicationDate":"1998-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21054114","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
Mississippi Medicaid program targets drug therapy compliance. 密西西比州医疗补助计划的目标是药物治疗依从性。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1998-08-01
{"title":"Mississippi Medicaid program targets drug therapy compliance.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Can pharmacists serving as disease management and drug therapy counselors to patients help reduce Medicaid costs? Program administrators hope so as they launch a new effort in which pharmacists serve as providers of disease management services and are paid for having counseling sessions with recipients.</p>","PeriodicalId":80144,"journal":{"name":"Public sector contracting report : the monthly guide to Medicare and Medicaid managed care","volume":"4 8","pages":"120-2"},"PeriodicalIF":0.0,"publicationDate":"1998-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21055279","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
Compliance plan can head off problems with Medicare fraud and abuse laws. 合规计划可以防止医疗保险欺诈和滥用法律的问题。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1998-08-01
{"title":"Compliance plan can head off problems with Medicare fraud and abuse laws.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Don't assume that compliance issues are only for your Medicare managed care organization. Providers who don't understand how HIP AA and the BBA work together to hold providers and plans accountable for fraud and abuse can set themselves up for career-ending mistakes, experts warn. Here's how to avoid practices that could be considered Medicare fraud or abuse.</p>","PeriodicalId":80144,"journal":{"name":"Public sector contracting report : the monthly guide to Medicare and Medicaid managed care","volume":"4 8","pages":"122-5"},"PeriodicalIF":0.0,"publicationDate":"1998-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21055280","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
Six questions to ask when eyeing Medicare pharmacy risk. 在考虑医疗保险药房风险时，需要问六个问题。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1998-08-01
{"title":"Six questions to ask when eyeing Medicare pharmacy risk.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Don't be surprised if your Medicare HMO asks you to take risk for pharmacy. As the cost of the benefit skyrockets, plans are turning to providers who do the prescribing to better control it. Here's how to determine whether you should take the risk and some tips on what should be in your contract.</p>","PeriodicalId":80144,"journal":{"name":"Public sector contracting report : the monthly guide to Medicare and Medicaid managed care","volume":"4 8","pages":"117-20"},"PeriodicalIF":0.0,"publicationDate":"1998-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21054115","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
Survey highlights trends in managing Medicare drug costs. 调查强调了管理医疗保险药品成本的趋势。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1998-08-01
{"title":"Survey highlights trends in managing Medicare drug costs.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Data File: Before you assume risk for your Medicare risk plan's pharmacy benefit, you ought to understand what the benefit is, how it works, and how much it's likely to cost you. Find out the latest trends and benchmark data in managed Medicare pharmacy from a recent survey.</p>","PeriodicalId":80144,"journal":{"name":"Public sector contracting report : the monthly guide to Medicare and Medicaid managed care","volume":"4 8","pages":"125-7"},"PeriodicalIF":0.0,"publicationDate":"1998-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21055281","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
Tap your own Medicare risk members to supply needed social services for peers. 利用你自己的医疗保险风险成员为同伴提供所需的社会服务。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1998-07-01
{"title":"Tap your own Medicare risk members to supply needed social services for peers.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Start a Medicare peer volunteer program to meet your members' social service needs: For 11 years, Elderplan Inc. has used senior volunteers to effectively and inexpensively meet the social service needs of its frail and homebound members, plus gained loads of favorable publicity and community goodwill in the process. Find out the benefits of such a program and get some tips on how to start one at your organization.</p>","PeriodicalId":80144,"journal":{"name":"Public sector contracting report : the monthly guide to Medicare and Medicaid managed care","volume":"4 7","pages":"105-8"},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21053399","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
Invest in data systems to manage your senior patients. 投资数据系统来管理你的老年病人。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1998-07-01
{"title":"Invest in data systems to manage your senior patients.","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 7","pages":"97-100"},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21053402","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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