Innovative providers thrive under Medicaid managed care.

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Abstract

A publicly funded health care system embraces Medicaid managed care. To some safety net providers, providing quality care, serving the indigent, and providing medical training seem to conflict with managed care. See how the University Health System in San Antonio, TX, created new programs for its Medicaid and uninsured patients to meet its mission, compete with commercial Medicaid plans, and still survive.

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创新供应商在医疗补助管理下茁壮成长。
公共资助的医疗保健系统支持医疗补助管理式医疗。对一些安全网提供者来说,提供高质量的护理、为穷人服务和提供医疗培训似乎与管理式护理相冲突。看看德克萨斯州圣安东尼奥的大学医疗系统是如何为医疗补助计划和没有保险的病人创建新项目,以实现其使命,与商业医疗补助计划竞争,并仍然生存下来的。
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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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