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Ambulatory care groupings : When, how, and the impact on managed care
Ambulatory care groupings : When, how, and the impact on managed care
- Source :
- Journal of Ambulatory Care Management. 17:29-38
- Publication Year :
- 1994
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 1994.
-
Abstract
- This article explores case-mix adjustment systems in the ambulatory care environment as applied by managed care firms. An overview of ambulatory care groupings or ambulatory case-mix systems is given, and the special case-mix adjustment needs of managed care companies are reviewed. Generally, two types of ambulatory care grouping systems are available: encounter-based and population-based. Case examples of three managed care companies that are currently investigating the use of population-based case-mix systems are used to demonstrate the possible use of such systems in the managed care environment such as physician profiling and capitation rate setting.
- Subjects :
- Budgets
Population
Ambulatory Care Information Systems
Nursing
Ambulatory care
Ambulatory Care
medicine
Practice Patterns, Physicians'
education
Diagnosis-Related Groups
education.field_of_study
Capitation
business.industry
Data Collection
Health Policy
Managed Care Programs
Physician profiling
medicine.disease
United States
Ambulatory care nursing
Small-Area Analysis
Ambulatory
Managed care
Medical emergency
business
Software
Subjects
Details
- ISSN :
- 01489917
- Volume :
- 17
- Database :
- OpenAIRE
- Journal :
- Journal of Ambulatory Care Management
- Accession number :
- edsair.doi.dedup.....0ffef4b2e48d79771089167c32075eb8
- Full Text :
- https://doi.org/10.1097/00004479-199401000-00006