managed care 管理式医疗 government-funded plans 由政府支持的医保项目 Employer-Provided Insurance 由雇主为雇员提供的保险 fomulary （保险）处方药物表 Medicare 医疗保险制（针对65岁以上老人的老年医保）Medicaid 医疗援助制（以穷人和伤残者为对象的医疗补助制度）Medigap 差额医疗保险（填补联邦医疗保险之不足...
Prescription Drug Use and Cost Among Medicaid Beneficiaries with Disabilities and Chronic Illnesses. Washington, DC: Mathematica Policy Research Although about two-thirds of the children with special health care needs in the U.S. are insured through private, employer-based plans, little is known abo...
Dual Eligible Special Needs Plans (D-SNPs) are a type of Medicare Advantage plan that serve beneficiaries dually enrolled in Medicare and Medicaid. J Verdier - 《Mathematica Policy Research Reports》 被引量: 3发表: 2015年 Medicaid Managed Care: Access and Quality Requirements Specific to Low-Inco...
What Do Dentists Want from a Medicaid Dental Managed Care Program? Conjoint Analysis from Rhode IslandHalasa, Yara A
Medicare's Bundled Payments for Care Improvement Initiative: Expanding Enrollment Suggests Potential for Large Impact Aiming to encourage care coordination and cost efficiency, the Center for Medicare and Medicaid Innovation (CMMI) launched the Bundled Payments for Care Improvement (BPCI) initiative in 20...
Medicaid managed care and the emergency department: the first one hundred days. Spurred by concerns over increasing costs and variable quality, public and private third-party payors are moving their subscribers into managed care plans... RD Powers - 《Journal of Emergency Medicine》 被引量: 7发表...
【正确答案】F 【答案解析】根据题干中的关键词 health insurance plans 和关键信息 transfer money from health expense into wages 可将答案定位至原文 F 段,该段首句提到 : The Senate Finance bill would impose an excise tax on health insurance plan〔s 参议院财政法案将强制征收医疗保险 的消费税〕 ,...
Assessing the financial health of Medicaid managed care plans and the quality of patient care they provide. In many states, Medicaid programs have contracted out the delivery of health care services to publicly traded health plans that are focused on managing the care of Medicaid members. Under th...
Evidence from Random Plan Assignment in New York Medicaid Managed Care Payers are increasingly using diagnostic data from outpatient encounter records to adjust the payment to health plans. Although much has been written about... M Geruso 被引量: 7发表: 2016年 Evaluating Medicaid HMOs when ...
In addition to the development of specific types of managed care organizations (MCOs) -- including the health maintenance organization (HMO), preferred provider organization (PPO), Medicare HMO and Medicaid HMO -- some traditional health insurance plans now also include selected managed care provision...