Hunting for data to limit risks of managed care.
As managed care ignites market after market, hospitals and health systems are turning to computer software to help collect the right payments and control the use of resources. Our Nov. 7 issue detailed how providers were using the classic number-crunching capability of computers to bill according to complex formulas in managed-care contracts. This article looks at how computer software is evolving to handle management of defined populations under predetermined reimbursement.
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D003363:Cost Control; D003625:Data Collection; D003657:Decision Making; D006754:Hospital Restructuring / Q000191:economics*; D008329:Managed Care Programs / Q000191:economics*; D008331:Management Information Systems / Q000639:trends*; D012308:Risk Management; D012984:Software; D014481:United States