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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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Health plan finds extra prenatal services not cost effective in treating Medicaid risk patients. 健康计划发现额外的产前服务在治疗医疗补助风险患者中并不划算。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1998-07-01
{"title":"Health plan finds extra prenatal services not cost effective in treating Medicaid risk patients.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Good news and bad news about Medicaid prenatal efforts: Although this Minneapolis HMO didn't reduce overall costs by instituting a comprehensive prenatal program targeted at high-risk mothers, administrators still say there are clear-cut benefits to managing this patient population. Here are the results of a two-year study, plus lessons learned in the effort.</p>","PeriodicalId":80144,"journal":{"name":"Public sector contracting report : the monthly guide to Medicare and Medicaid managed care","volume":"4 7","pages":"101-5"},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21053398","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
Data file. Most Medicare plans to see only 2% rate hike in 1999. 数据文件。大多数医疗保险计划在1999年只增加2%的利率。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1998-07-01
{"title":"Data file. Most Medicare plans to see only 2% rate hike in 1999.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Data File: You'll find HCFA's 1999 payment rates for 100 U.S. counties with the highest Medicare risk enrollment on page 108. Plus, is managed Medicaid losing its sizzle? A new study finds that declining payment rates and changes in state programs are driving commercial HMOs out of Medicaid risk. Although this may signal a market opportunity for Medicaid providers, researchers find that profit margins can be slim to none.</p>","PeriodicalId":80144,"journal":{"name":"Public sector contracting report : the monthly guide to Medicare and Medicaid managed care","volume":"4 7","pages":"108-9"},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21053400","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
Study finds managed Medicaid market starting to fizzle. 研究发现管理医疗补助市场开始失败。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1998-07-01
{"title":"Study finds managed Medicaid market starting to fizzle.","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":"110-1"},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21053401","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
Brace yourself for fallout from Medicare rate change. 准备好应对医疗保险费率变化带来的影响吧。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1998-06-01
{"title":"Brace yourself for fallout from Medicare rate change.","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 6","pages":"81-6"},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21052264","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
Prepare now by learning the ABCs of PIP-DCGs (principal inpatient diagnostic cost groups). 现在就通过学习pip - dcg(主要住院病人诊断费用组)的基础知识做好准备。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1998-06-01
{"title":"Prepare now by learning the ABCs of PIP-DCGs (principal inpatient diagnostic cost groups).","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The ABC of PIP-DCGs: How will HCFA's new Medicare payment system work? An expert who developed the new pay rate based on hospital diagnoses explains what it is and how it works.</p>","PeriodicalId":80144,"journal":{"name":"Public sector contracting report : the monthly guide to Medicare and Medicaid managed care","volume":"4 6","pages":"86-7"},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21052265","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 emerge as winners in Medicaid--but follow these 6 strategies. 医疗补助计划的提供者可能会成为赢家，但请遵循以下6个策略。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1998-06-01
{"title":"Providers could emerge as winners in Medicaid--but follow these 6 strategies.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Take the Medicaid plunge: Experts say the Medicaid market is ripe for entry by providers thanks to recent legislative changes, new contracting trends, and an exodus by HMOs. Here's an update on the market and important questions to ask your potential plan partners before taking the plunge.</p>","PeriodicalId":80144,"journal":{"name":"Public sector contracting report : the monthly guide to Medicare and Medicaid managed care","volume":"4 6","pages":"87-9"},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21052266","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 finds states widen reach of Medicaid risk programs. 调查发现各州扩大了医疗补助风险项目的覆盖范围。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1998-06-01
{"title":"Survey finds states widen reach of Medicaid risk programs.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Data File: What will industry trends mean for Medicaid providers? A new study details industry changes in Medicaid risk and concludes that providers will see new, more medically complicated and higher costing populations. Here are the details and some interesting statistics--from types of covered populations to marketing practices.</p>","PeriodicalId":80144,"journal":{"name":"Public sector contracting report : the monthly guide to Medicare and Medicaid managed care","volume":"4 6","pages":"93-5"},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21052268","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 variation in utilization, revenue based on plan affiliation, warns Medicare risk provider. 医疗保险风险提供者警告说，根据计划隶属关系，预期使用和收入的变化。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1998-06-01
{"title":"Expect variation in utilization, revenue based on plan affiliation, warns Medicare risk provider.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Anatomy of a Medicare risk contract: A seasoned California Medicare provider shares the details on its risk contracts and warns other providers to expect wide variation in performance based on plan affiliation. Here's the \"inside story\" on how this provider has garnered 10% of the local market share, but it's sometimes been an uphill struggle.</p>","PeriodicalId":80144,"journal":{"name":"Public sector contracting report : the monthly guide to Medicare and Medicaid managed care","volume":"4 6","pages":"89-93"},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21052267","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 find new opportunities as more states require school-based Medicaid services. 随着越来越多的州要求以学校为基础的医疗补助服务，医疗服务提供者找到了新的机会。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1998-05-01
{"title":"Providers find new opportunities as more states require school-based Medicaid services.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Finding a niche under managed Medicaid: Health Start Inc., a traditional Medicaid provider in St. Paul, MN, has carved out its own special niche under managed Medicaid. See how this provider, which operates primary care clinics in local high schools, has held onto its share of Medicaid business and attracted MCOs.</p>","PeriodicalId":80144,"journal":{"name":"Public sector contracting report : the monthly guide to Medicare and Medicaid managed care","volume":"4 5","pages":"77-80"},"PeriodicalIF":0.0,"publicationDate":"1998-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21207465","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
Plan your organization's Medicare risk strategy using enrollment, disenrollment data. 使用登记和注销数据来规划您组织的医疗保险风险策略。
Public sector contracting report : the monthly guide to Medicare and Medicaid managed care Pub Date : 1998-05-01
{"title":"Plan your organization's Medicare risk strategy using enrollment, disenrollment data.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Data File: We've expanded this month's column to feature the details of two studies on Medicare enrollment and disenrollment trends--important information that can help you fine-tune your Medicare risk strategy. You'll find the top counties poised for growth, a report card on how HMOs are retaining or losing their members, and tips for spotting plans that could spell trouble because of volatile membership.</p>","PeriodicalId":80144,"journal":{"name":"Public sector contracting report : the monthly guide to Medicare and Medicaid managed care","volume":"4 5","pages":"74-7"},"PeriodicalIF":0.0,"publicationDate":"1998-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21207464","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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