| Autor: |
Schwartz RM; National Perinatal Information Center, Providence, RI, USA., Kellogg RJ, Scanlon JW, Zhao Q |
| Jazyk: |
angličtina |
| Zdroj: |
Pediatric clinics of North America [Pediatr Clin North Am] 1998 Jun; Vol. 45 (3), pp. 635-50. |
| DOI: |
10.1016/s0031-3955(05)70033-x |
| Abstrakt: |
In the era of managed care, the potential for high-risk patients of all ages to receive less than optimal care exists because the mechanism for reimbursement is designed to promote savings. The specific ways managed care payment mechanisms actually differ from indemnity insurance or fee-for-service are conceptually quite simple. This article reviews mechanisms such as utilization review, setting length-of-stay bench marks, preapproval for referrals to specialists, specific treatments, procedures, and hospital days. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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