Reverse caps in Medicare encourage primary care, better align incentives.

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Abstract

If your medical group is seeing specialty costs spiral out of control in Medicare, a reverse capitation arrangement may help. Paying primary care providers fee-for-service--and specialty providers capitation--may better align your group's incentives and promote better use of low-cost primary care services for seniors. See if the methodology is right for you.

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医疗保险的反向上限鼓励初级保健,更好地调整激励措施。
如果你的医疗集团在医疗保险中看到专业费用螺旋上升失去控制,反向人头安排可能会有所帮助。向初级保健提供者按服务收费——以及向专业保健提供者按人头付费——可能会更好地协调你所在群体的动机,并促进老年人更好地使用低成本的初级保健服务。看看这个方法是否适合你。
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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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