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Savings Opportunities Through Medicaid Disease Management

机译:通过医疗补助疾病节省机会

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In their attempts to control spending in Medicaid, a few states have looked beyond the obvious reductions in reimbursement, tightened eligibility requirements, and institution of co-pays to disease management outsourcing. While the traditional panoply of cutbacks will save money the year they are instituted, they tend to have trade-offs. Reducing reimbursement, for example, may encourage providers to leave the program. As a result, several states are implementing outsourced medical management programs, which together at maturity will, as shown below, noticeably reduce Medicaid spending by improving the way health care is delivered. These purely voluntary, quality-enhancing outsourced medical management programs are also fully guaranteed by a wide variety of vendors to save money starting in the first year they are implemented.
机译:在控制医疗补助支出的尝试中,一些州的目光不仅仅在于报销额的明显减少,严格的资格要求以及对疾病管理外包的共付制度。尽管传统的削减开支计划会在成立之初就省钱,但它们往往需要权衡取舍。例如,减少报销可能会鼓励提供者退出该计划。结果,一些州正在实施外包的医疗管理计划,如下所示,这些计划的到期日将通过改善医疗保健的提供方式来显着减少医疗补助支出。这些纯自愿的,提高质量的外包医疗管理计划也得到了众多供应商的充分保证,从实施第一年开始就可以节省资金。

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