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HEALTH-CARE COST CONTAINMENT IN THE 1980S

COMPENSATION REVIEW 1983年第4期15卷 15-31页

作者： MCILROY, GT Meidinger Health Risk Management Inc.

Benefits administrators—and their employers—can no longer ignore the skyrocketing costs of health care. The wide range of measures explored here for controlling these costs include negotiating with providers, analyzing medical claims, enlisting the aid of employee/patients, structuring benefit programs to eliminate excesses, and setting up wellness programs to alter the lifestyles—smoking, drinking, poor nutrition—that result in crippling, even fatal diseases.

关键词：费用控制/发展趋势保健福利计划雇员/组织和管理卫生经费支出/发展趋势保险健康/组织和管理美国

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PUBLICLY FINANCED COMPETITION IN HEALTH-CARE-DELIVERY - A CANADIAN SIMULATION-MODEL

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JOURNAL OF HEALTH ECONOMICS 1989年第3期8卷 313-338页

作者： MULDOON, JM STODDART, GL MCMASTER UNIV HAMILTON L8N 3Z5ONTARIOCANADA CANADIAN INST ADV RES TORONTO M5T 1X4ONTARIOCANADA

This paper presents the simulation analysis of a proposal for publicly financed competition in the Canadian health care system. The proposal incorporates cost-conscious consumer choice among alternative delivery modalities within a system of national health insurance. Five model structures for competition are examined using data from a market area in the province of Ontario. The simulation results indicate the potential for competition to have a significant impact on health care expenditure over a range of plausible circumstances. The results also suggest that it may not be necessary to go so far as a system of formal competition in order to achieve much of the potential savings associated with alternative delivery modalities.

关键词：按人收费计算机模拟经济竞争费用和收费费用医疗卫生经费支出/统计学和数值数据保险健康/组织和管理模型理论国家卫生规划/经济学安大略软件设计

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The third party administrator as a channel member in the employee insurance services distribution system

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Journal of Professional Services Marketing 1988年第3-4期3卷 175-187页

作者： Self, Donald R. Auburn University at Montgomery United States

No abstract available for this article.

关键词：评价研究保健福利计划雇员/组织和管理保险/组织和管理保险机构/组织和管理保险健康/组织和管理保险健康补偿模型理论危险因素美国

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Designing a strategic benefits program.

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Compensation and benefits review 1989年第5期21卷 44-56页

作者： Bowen, D.E. Wadley, C.A. University of Southern California Attorney/Consultant

The right combination of benefits can go a long way in helping a company reach its strategic goals and attract a highly capable workforce.

关键词：保健福利计划雇员/组织和管理保险健康/组织和管理组织目标规划技术薪金和附加福利美国

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AIDS: implications for employee benefit plans and personnel policies.

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Employment relations today 1988年第4期15卷 285-293页

作者： Zilg, R.J.

Current projections indicate an inexorable increase in AIDS cases, with no cure in sight. The disease is affecting primarily those aged 21 to 44--those who have, in the past, been the main participants in employer-sponsored benefit plans and Social Security. Humane, economically viable benefit plan and personnel policy solutions to this public health catastrophe are described herein.

关键词：艾滋病血清学诊断获得性免疫缺陷综合征/经济学获得性免疫缺陷综合征/流行病学成本及成本分析数据收集保健福利计划雇员/组织和管理保险健康/组织和管理人员管理/方法危险因素美国人类

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OPTIMAL PAYMENT SYSTEMS FOR HEALTH-SERVICES

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JOURNAL OF HEALTH ECONOMICS 1990年第4期9卷 375-396页

作者： ELLIS, RP MCGUIRE, TG BOSTON UNIV DEPT ECONBOSTONMA 02215 USA

Demand-side cost sharing and the supply-side reimbursement system provide two separate instruments that can be used to influence the quantity of health services consumed. For risk-averse consumers, optimal payment systems — pairs of insurance and reimbursement plans — are characterized by conflict rather than consensus between patient and provider about the quantity of treatment. A model of conflict resolution based on bargaining theory is used to represent the outcome when the payment system creates divergences between desired demand and desired supply. Using that model, we describe the optimal combination of insurance and reimbursement systems that maximize consumer welfare.

关键词：冲突(心理学) 绝对免赔额与共同保险卫生服务需求/统计学和数值数据保险健康/组织和管理模型统计学劝导交谈权力(心理学) 转诊和会诊/经济学偿还途径/组织和管理危险美国人类

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Marketing a preferred provider organization: Case study of select health

引用

Journal of Hospital Marketing 1987年第3-4期1卷 83-104页

作者： Gorman, Bruce SELECT Health Emeryville CA 94608 5500 Shcllmound St #210 United States

No abstract available for this article.

关键词：加利福尼亚医院保险健康/组织和管理卫生服务使用研究/方法优先提供医疗服务组织/组织和管理美国

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Guidelines to successful flex plans: four companies' experiences.

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Compensation and benefits review 1985年第3期17卷 38-45页

作者： Tane, L.D. Flexible Compensation Team The Wyatt Company Washington D.C.

New technology is making it increasingly easy for companies to set up flexible benefits plans that are cost effective and popular with employees.

关键词：保健福利计划雇员/组织和管理医院病床数 100至299张保险健康/组织和管理人员管理医院薪金和附加福利/发展趋势美国女(雌)性人类男(雄)性

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Changes and challenges in china: Is the “open policy” closing doors in chinese hospitals?

引用

Hospital Topics 1991年第2期69卷 25-30页

作者： Brown, Kate Kuang, Yunfee Center for Health Policy and Ethics Creighton University Omaha NE United States Yangzhou Medical College Yangzhou China

Since 1978, China's economic reforms and her pursuit of modern technology have significantly opened the scope of her hospital services and financing. While the decentralization and higher incomes have given Chinese hospitals new freedoms, they have also raised the specter of new limitations on access to healthcare. The authors review these changes and consider what the future holds for the Chinese hospital system.

关键词：中国共产主义卫生保健提供/发展趋势卫生服务易得程度/发展趋势医院公立/组织和管理保险健康/组织和管理政治公费医疗/组织和管理工艺学高成本

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A MODEL OF CAPITATION

引用

JOURNAL OF HEALTH ECONOMICS 1990年第4期9卷 397-409页

作者： SELDEN, TM SYRACUSE UNIV SYRACUSENY 13244 USA

This paper presents a theoretical model of capitation contracts. The consumer's ex ante choice of medical plan is derived under flexible assumptions about provider-patient decision-making. The optimal medical plan is shown to combine full insurance with a provider payment system that is a mixture of capitation and partial reimbursement of provider costs. This solution strongly parallels the ‘mixed payment’ system derived by Ellis and McGuire (1986, 1990) in the context of prospective payment, though the optimal medical plan derived below may in fact be preferred to that solution in a world with endogenous admissions.

关键词：按人收费/统计学和数值数据费用分配/统计学和数值数据决策绝对免赔额与共同保险保险健康/组织和管理管理医疗规划/经济学模型统计学预期支付系统偿还途径危险美国

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