Managing advanced illness: a quality and cost challenge to Medicare, Medicaid, and private insurers.
Managing advanced illness: a quality and cost challenge to Medicare, Medicaid, and private insurers.
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管理晚期疾病：医疗保险、医疗补助和私人保险公司面临的质量和成本挑战。
DOI：
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发表时间：
2002
期刊：
影响因子：
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通讯作者：
K. Matherlee
中科院分区：
文献类型：
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作者：
K. Matherlee
这份背景文件审查了为慢性病晚期患者提供保健服务和为其筹资的方法。认识到医疗保险计划是这种服务的主要保险公司，其份额很可能会增加，由于人口老龄化，该文件的重点是医疗保险临终关怀的性质和结构，并在非常有限的程度上，姑息治疗福利。它还探讨了医疗补助的好处，以及通过私人保险，包括赔偿，服务点，和首选供应商组织产品的覆盖面。除了提供各种方案的描述性信息外，本文还讨论了质量问题以及成本和付款考虑。
This background paper examines approaches to delivering and financing health services for persons with advanced chronic illness. Recognizing that the Medicare program is the major insurer of such services and that its share is likely to increase due to the aging of the population, the paper focuses on the nature and structure of Medicare hospice-and, to a very limited extent, palliative-care-benefits. It also explores Medicaid benefits, as well as coverage through private insurance, including indemnity, point-of-service,and preferred-provider-organization products. In addition to giving descriptive information on the various programs, the paper looks at quality concerns and cost and payment considerations.