如果农村的医疗服务提供者过快地加入医疗补助计划,他们将面临严峻的挑战。

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引用次数: 0

摘要

从提供者拥有的计划中学习农村医疗补助管理的一些经验。位于密歇根州马奎特的上半岛健康计划发现,通过他们自己的农村医疗补助计划向提供者引入管理式医疗服务充满了惊喜。从一个艰难的学习过程中,找出应该期待什么,以及应该避免什么。
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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Rural providers have tough row to hoe if they jump into Medicaid risk too quickly.

Learn some lessons in rural managed Medicaid from a provider-owned plan. Upper Peninsula Health Plan, based in Marquette, MI, discovered that introducing managed care to providers through their own rural Medicaid plan is full of surprises. Find out what to expect--and what to avoid--from a plan that's learning the hard way.

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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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