Health plan finds extra prenatal services not cost effective in treating Medicaid risk patients.

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Abstract

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.

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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。
关于医疗补助产前计划的好消息和坏消息:尽管明尼阿波利斯的HMO没有通过针对高危母亲制定全面的产前计划来降低总体成本,但管理人员仍然表示,管理这一患者群体有明显的好处。以下是一项为期两年的研究的结果,以及在此过程中获得的经验教训。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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Reach out to community to develop culturally sensitive patient care. CA study finds some challenges in Medicaid may be universal. Troubled PHO reveals Medicare risk contracting strategy. Model for PCP contracts offers right incentives for Medicare, Medicaid providers. Collect data, monitor claims receipts to ensure prompt Medicare, Medicaid payment.
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