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资料库公共管理美国医疗保险制度
LOGO LOGO US Health Care System Jeff Cheung Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. The Department in charge Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. The details in management Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. US Health Care Spending Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. Three Main Parties in Health Care Payer 支付方 Service Provider 服务提供方 Patient 患者 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. Providers Doctors Hospitals LaboratoriesMEC Pharmacies(Drugstore) Pharmaceutical Companies (formularies) Home care and other specialty care Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. What Do Providers Do? Family doctors: one-to-one relationship Specialists: specialty care Hospitals: inpatient and emergency care Drug stores: drug prescriptions Pharmaceutical companies: drugs under a “formulary” arrangement Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. What Do Patients Do? Uninsured: seek emergency care or Medicaid Insured: Choose a family doctor Family doctor becomes the “care manager” Family doctor must make referral(转诊病人) to hospitals Make co-pay as defined by payers (office visits, generic / brand name drug, out-of-pocket maximums, etc.) Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd. Payers Government: Medicare and state Medicaid programs Health insurance programs / HMO Patients Evaluation only. Created wit
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