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首页> 外文期刊>American journal of public health >The impact of Medicaid managed care on community clinics in Sacramento County, California.
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The impact of Medicaid managed care on community clinics in Sacramento County, California.

机译：医疗补助管理式护理对加利福尼亚州萨克拉曼多县社区诊所的影响。

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OBJECTIVES: The purpose of this study was to determine the impact of countywide Medicaid managed care on service use at community clinics. METHODS: Clinic use before and after introduction of Medicaid plans in one county was compared with that in a group of comparable counties without such plans. RESULTS: There were significant declines of 40% to 45% in the volumes of Medicaid clients, encounters, and revenues at clinics with the introduction of Medicaid plans. Declines of 23% in uninsured clients and encounters did not differ significantly. CONCLUSIONS: The introduction of Medicaid managed care with multiple commercial plans can have significant negative effects on nonprofit community clinics.
机译：目的：本研究的目的是确定县级医疗补助管理式护理对社区诊所服务使用的影响。方法：比较了在一个县实施医疗补助计划前后的临床使用情况与一组没有此类计划的可比较县的临床使用情况。结果：引入医疗补助计划后，医疗补助的客户数量，遇诊人数和诊所收入显着下降了40％至45％。未投保的客户和遭遇者下降了23％，差异无显着性。结论：引入具有多种商业计划的医疗补助管理式护理会对非营利性社区诊所产生重大负面影响。

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