Cov phiaj xwm capitated insurance ua haujlwm li cas?
Cov phiaj xwm capitated insurance ua haujlwm li cas?

Video: Cov phiaj xwm capitated insurance ua haujlwm li cas?

Video: Cov phiaj xwm capitated insurance ua haujlwm li cas?
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Anonim

A capitated daim ntawv cog lus yog kev kho mob npaj uas tso cai rau them tus nqi ncaj nraim rau txhua tus neeg mob nws npog. Hauv qab a capitated contract, HMO or managed saib xyuas lub koom haum them nyiaj tas li rau nws cov tswv cuab rau tus kev kho mob tus kws kho mob.

Ib yam li ntawd, koj tuaj yeem nug, dab tsi capitated txhais tau tias hauv kev tuav pov hwm?

Capitation kev them nyiaj yog kev them nyiaj tau pom zoo nyob rau hauv a capitated cog lus los ntawm kev noj qab haus huv kev pov hwm tuam txhab thiab tus kws kho mob. Lawv yog taag, npaj ua ntej cov nyiaj them txhua hli tau txais los ntawm tus kws kho mob, tsev kho mob lossis tsev kho mob ib tus neeg mob cuv npe hauv daim phiaj xwm kev noj qab haus huv, lossis ib tus neeg.

Ib tug kuj yuav nug, cov kws kho mob thiab cov neeg mob cuam tshuam li cas los ntawm cov nyiaj them poob haujlwm? Capitated them nyiaj yog npaj ua ntej kev them nyiaj rau kev kho mob cov neeg muab kev pabcuam xa cov kev pabcuam ntawm ib tus tswvcuab hauv ib hlis (PMPM) hauv paus. Cov kws kho mob tau them tus nqi them rau txhua tus tus neeg mob lawv pom, tsis hais tus nqi ntawm txhua tus neeg ua tau tiag tiag.

Ib yam li ntawd ib tug yuav nug, dab tsi yog tus neeg muab kev pabcuam capitated?

Capitation yog ib qho kev npaj them nqi kho mob cov neeg muab kev pabcuam . Nws them tus nqi them rau txhua tus neeg tau txais kev tso npe rau lawv, nyob rau lub sijhawm, txawm tias tus neeg ntawd nrhiav kev saib xyuas.

Dab tsi yog capitated pricing?

Hauv Asmeskas, capitated nqi feem ntau hais txog a tus nqi qauv siv los ntawm cov kws kho mob los ua tus qauv tus nqi ntawm cov khoom zoo sib xws thiab cov khoom siv thoob plaws hauv kev lag luam raws li qib ntawm cov khoom.

Pom zoo: