Battling the barriers to prevention in less-integrated organizations.
While HMOs are well-positioned to target screening activities and other preventive procedures to the members who need them, a large percentage of Americans receive their care from PPOs and other less-integrated care delivery systems that lack the data and resources to keep such a firm grasp on prevention activities. To get around this problem, investigators at URAC recently uncovered a number of strategies that less-integrated organizations can employ to get prevention back on the front burner.
D000368:Aged; D003299:Cooperative Behavior; D003363:Cost Control; D019033:Delivery of Health Care, Integrated / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D005102:Health Expenditures; D006305:Health Status Indicators; D006801:Humans; D008329:Managed Care Programs; D011314:Preventive Health Services / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D017149:Private Sector; D011445:Prospective Payment System; D017150:Public Sector; D011787:Quality of Health Care; D020379:Risk Adjustment