CARING FOR THE UNINSURED AND UNDERINSURED - PROTECTING CHILDREN WITH CHRONIC ILLNESS IN A COMPETITIVE MARKETPLACE

被引：88

作者：

NEFF, JM

ANDERSON, G

机构：

[1] UNIV WASHINGTON,DEPT PEDIAT,SEATTLE,WA 98195

[2] JOHNS HOPKINS MED INST,CTR HOSP FINANCE MANAGEMENT,BALTIMORE,MD 21205

来源：

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION | 1995年 / 274卷 / 23期

关键词：

D O I：

10.1001/jama.274.23.1866

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Health care for children with chronic illnesses is significantly more expensive than for the average child. Children with chronic illnesses are especially vulnerable in a competitive health care environment because of the higher ongoing cost associated with treating their illnesses and the inherent pressures to reduce services to manage within the capitated rate. To minimize the adverse impact a competitive market could have on these children, a ''carve-out'' for specific medical conditions is discussed. A capitation pricing system that reflects their higher costs is proposed, as well as a delivery system that is focused on their needs.

引用

页码：1866 / 1869

页数：4