Direct contracting: a Minnesota case study.

Autor: Burrows SN; HealthEast Care, Inc., St. Paul, MN, USA., Moravec RC
Jazyk: angličtina
Zdroj: Healthcare financial management : journal of the Healthcare Financial Management Association [Healthc Financ Manage] 1997 Aug; Vol. 51 (8), pp. 50-5.
Abstrakt: During 1996, HealthEast Care, Inc., a healthcare provider-owned and governed direct-contracting company, successfully responded to a request for proposal from the metropolitan Minneapolis-St. Paul-based Buyers Health Care Action Group (BHCAG), a coalition of self-insured employers, to provide healthcare services to members of BHCAG's Choice Plus health plan. HealthEast Care developed a care system proposal for BHCAG that balanced consumer and purchaser expectations with historical healthcare costs. Providers are reimbursed for contracted healthcare services according to a unique fee-for-service, budget-based payment model. BHCAG chose to contract with HealthEast Care and 23 other care systems in the metropolitan Minneapolis-St. Paul area and other parts of Minnesota to serve more than 117,500 Choice Plus enrollees.
Databáze: MEDLINE
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