Health care's new balancing act: managing hybrids plans.

Managed care quarterly Pub Date : 2004-01-01
Michael Alper
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引用次数: 0

Abstract

Today's health care market must balance the demands of many stakeholders. Consumers want choice over providers, benefit flexibility, and freedom from having to obtain permission for health services. At the same time, employer groups demand that plans hold the line on premiums, or pass cost-increases along to employees. Provider organizations, caught in the middle of these conflicting interests--containing costs yet providing unfettered access to care--are struggling to balance their own capital, financial risk, and service levels.

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医疗保健的新平衡行为:管理混合计划。
今天的医疗保健市场必须平衡许多利益相关者的需求。消费者希望对提供者有选择,受益于灵活性,以及不必获得医疗服务许可的自由。与此同时,雇主团体要求医保计划保持保费上限,或者将增加的成本转嫁给雇员。受困于这些利益冲突的提供者组织——既要控制成本,又要提供不受限制的医疗服务——正在努力平衡自己的资本、财务风险和服务水平。
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