计划、提供者合作管理高危妊娠;医疗补助的效果得到改善。

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引用次数: 0

摘要

医疗补助产前项目不必“大同小异”。弗吉尼亚特许健康计划(Virginia Chartered Health Plan)为怀孕的医疗补助成员提供的“Ready Set Grow”计划,对成员和临床医生都提供了激励。找出是什么让这个针对高危妊娠的病例管理项目如此与众不同,以至于被美国健康计划协会誉为“最佳实践”。
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Plans, providers partner to manage high-risk pregnancies; Medicaid outcomes improve.

Medicaid prenatal programs don't have to be 'more of the same.' The Ready Set Grow program, offered to pregnant Medicaid members by the Virginia Chartered Health Plan, provides incentives to both members and clinicians. Find out what makes this case management program for high-risk pregnancies so different that it's been hailed as a "best practice" by the American Association of Health Plans.

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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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