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首页> 外文期刊>Intellectual and Developmental Disabilities (Mental Retardation) >Overview and Implications of Medicaid Managed Care for People With Devopmental Disabilities
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Overview and Implications of Medicaid Managed Care for People With Devopmental Disabilities

机译：残障人士医疗补助管理式护理的概述和意义

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The inclusion of people with developmental disabilities in managed care as part of general efforts by states to enroll all Medicaid recipients in such plans was reviewed. Managed care was defined and the processes by which managed care organizations deliver services were explained. Escalating costs and utilization were discussed as the primary reason for the shift to managed care. The use of Medicaid Section 11 15 waivers by states to include Medicaid recipients was explored. The relation between acute health care and long-term care, and the utilization patterns in each, were briefly described. Finally, elements of managed care that are particularly important to people with developmental disabilities, such as care coordination, maintenance of quality, and individual and family support, were discussed.
机译：审查了将发展性残疾人包括在管理式护理中的做法，这是各州将所有医疗补助接受者纳入此类计划的总体努力的一部分。定义了管理式护理，并说明了管理式护理组织提供服务的过程。成本和使用率不断上升是讨论转向管理式护理的主要原因。探索了州使用医疗补助第11节15豁免，以包括医疗补助接收者。简要描述了急性医疗保健和长期护理之间的关系，以及每种护理的使用模式。最后，讨论了对残障人士特别重要的管理式照护要素，例如照护协调，质量保持，个人和家庭支持。

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