评价利用管理方案的新方法

Susan M.C. Payne MPH, PhD (Research Assistant Professor), Deirdre Campbell BSN, MPH, Barbara G. Penzias MBA (Health Care Management Consultant and former Program Manager), Elinor Socholitzky MBA (Director)
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引用次数: 16

摘要

马萨诸塞州蓝十字和蓝盾公司(BCBS)开发了两种新的方法来衡量利用管理(UM)在减少不必要的医院使用方面的效果。“程序组件”方法测量了入院前审查、并发审查和出院计划的单独效果。“可节省的日子”方法对整个计划的有效性进行了综合衡量。这两种方法的使用说明了五年的使用审查数据从BCBS非团体保险产品。这些结果可以被运营经理和政策制定者用来衡量单个UM组成部分和整个项目的绩效,建立目标和监控项目绩效,根据使用模式的变化修改项目,帮助制定保费,与雇主或供应商建立风险分担协议,并证明项目在营销中使用的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
New Methods for Evaluating Utilization Management Programs
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