儿科系统使用与供应商的合同,计划塑造其在医疗补助管理中的角色。

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引用次数: 0

摘要

案例研究:儿科供应商系统寻求控制管理医疗补助。得克萨斯州沃斯堡的库克儿童医疗保健系统通过建立自己的医疗服务提供者网络,并制定了一些不同寻常的合同安排,降低了利用率,甚至根据其与三个医疗补助计划签订的第一份全风险合同,向医生支付了奖金。看看这个系统的提供者是如何使自己成功的。
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Pediatric system uses contracts with providers, plans to shape its role in managed Medicaid.

Case study: A pediatric provider system seeks control in managed Medicaid. By creating its own provider network, and making some unusual contracting arrangements, Cook Children's Health Care System in Fort Worth, TX, has lowered utilization and even paid bonuses to physicians under its first full-risk contracts with three Medicaid plans. See how this system's providers set themselves up to succeed.

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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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