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6.
Healthc Financ Manage ; 61(10): 44-6, 48, 2007 Oct.
Article in English | MEDLINE | ID: mdl-17953181

ABSTRACT

Healthcare organizations should ensure that their quality, cost, and patient satisfaction measures allow them to compete with their rivals. Organizations need to offer proactive health management services to succeed in the marketplace. Organizations need to employ a value-based operation model to survive.


Subject(s)
Health Expenditures , Health Facilities , Quality of Health Care/economics , Consumer Behavior/economics , Financial Management , United States
8.
11.
Healthc Financ Manage ; 60(12): 122-5, 2006 Dec.
Article in English | MEDLINE | ID: mdl-17193840

ABSTRACT

Pay for performance is expected to become widely implemented. Two critical issues in P4P are how much money is involved and what measures of performance the programs will pay for.


Subject(s)
Physician Incentive Plans/organization & administration , Quality Assurance, Health Care/economics , Reimbursement, Incentive , Quality Assurance, Health Care/organization & administration , United States
12.
Healthc Financ Manage ; 60(10): 82-4, 86, 2006 Oct.
Article in English | MEDLINE | ID: mdl-17040034

ABSTRACT

Now that proactive health services are increasingly being paid for by third parties, entirely new bases for and kinds of pricing are being practiced. New options becoming common include: Pay-for-performance bonuses. Bonuses based on achieving disease-specific or risk-specific outcomes. Gainsharing arrangements.


Subject(s)
Delivery of Health Care , Fees and Charges , Preventive Medicine/economics , Quality Assurance, Health Care/economics , United States
16.
Healthc Financ Manage ; 60(4): 98-102, 104, 2006 Apr.
Article in English | MEDLINE | ID: mdl-16610435

ABSTRACT

The healthcare continuum can be divided into stages that move from cause to effect. Each stage is a potential place to focus on improving the management of our healthcare system. The key is to make proactive care profitable for providers without making it too expensive for all other affected stakeholders.


Subject(s)
Continuity of Patient Care/economics , Health Care Reform/methods , Cost-Benefit Analysis , Disease Management , Economics, Hospital , Health Care Reform/economics , Humans , United States
17.
19.
Manag Care Q ; 14(1): 10-2, 2006.
Article in English | MEDLINE | ID: mdl-17590970

ABSTRACT

"Loyalty rewards" in sponsored DM and HRM programs can apply to both providers and consumers. Physicians and hospitals can be paid to "loyally" adhere to payers' guidelines for managing diseases and risks. Many payer and their outsourced vendor programs include significant efforts to create collaborations between payer and provider, rather than relying on unilateral efforts. And growing numbers are rewarding providers for their efforts and results achieved.


Subject(s)
Consumer Behavior/economics , Disease Management , Health Promotion/economics , Insurance, Health/trends , Acute Disease/economics , Chronic Disease/economics , Employee Incentive Plans , Health Behavior , Health Benefit Plans, Employee/economics , Health Care Sector , Humans , Reward , United States
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