对于UW健康,健康计划所有权提供财务稳定性。

Alan S Kaplan
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摘要

对于在以价值为基础的环境中寻求前进和向上之路的卫生系统来说,拥有一项卫生计划可以产生许多积极的影响,包括有机会推动以价值为基础的护理,提高财务利润率,以及有机会奖励伙伴关系。然而,作为付款人和提供者——“付款人”——可能会对卫生系统和卫生计划提出不同寻常的要求。开发这种混合业务对西澳大学健康中心(UW Health)来说是一种学习经验。西澳大学健康中心是一家学术医疗中心,与其他学术医疗中心一样,是建立在按服务收费的模式上的。今天,UW健康是该州最大的供应商拥有的健康计划的多数所有者。正如这里所示,健康计划所有权并不适用于每个系统。负担是沉重的。但对于西澳大学健康中心来说,它是使命和利润的重要组成部分。
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For UW Health, Health Plan Ownership Provides Financial Stability.

For health systems seeking a path forward and upward in a value-based environment, ownership of a health plan can yield many positives, including a chance to drive value-based care, financial margin improvement, and opportunities for rewarding partnerships. However, being both a payer and a provider-a "payvider"-can make extraordinary demands on both the health system and health plan. Developing this hybrid business has been a learning experience for UW Health, an academic medical center that, like others in academic healthcare, was built on a fee-for-service model. Today, UW Health is a majority owner of what has become the state's largest provider-owned health plan. As illustrated here, health plan ownership is not for every system. The burdens are heavy. But for UW Health, it is an important component of both mission and margin.

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来源期刊
Frontiers of Health Services Management
Frontiers of Health Services Management Medicine-Medicine (all)
CiteScore
1.00
自引率
0.00%
发文量
27
期刊介绍: Disaster preparedness. The future of health professions. Workforce shortages. Alternative medicine. You want to understand the latest trends, but you don"t always have time for books. Magazines don"t give you quite enough information. Keeping up doesn"t have to be difficult. Frontiers can bring you up to speed quickly. Frontiers" unique "bookazine" format gives you the deep understanding gained from books but in a shorter format, like a magazine. Each issue focuses on one healthcare management topic, providing you with the knowledge you need to understand and react to evolving trends. Frontiers is written by experts on the topic and includes commentary from the field.
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