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HRSA HIV/AIDS Bureau's
Special Projects of National Significance [1994 - 1999]:
AIDS Healthcare Foundation
Completed By:
Peter
D. Reis
Last
Updated: May 1999
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1. Lesson Learned: Risk adjusted service reimbursement rates are vital if quality specialized care is to be delivered. |
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How related to achievements: The clinical and financial success of the program has largely been the result of adequate financing. |
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2. Lesson Learned: Providers hoping to be successful in capitated medical care must have the capacity to adequately assess cost and utilization in order to make proper clinical, financial, and managerial decisions. |
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How related to achievements: Not specified. |
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3. Lesson Learned: Closed capitated networks benefit those with chronic diseases. |
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How related to achievements: The network approach allows HIV specialists to control the process and the money. |
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4. Lesson Learned: Managed care for Medicaid patients is fast becoming the only option. Providers must begin the process of positioning themselves for the inevitability. |
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How related to achievements: This knowledge prompted AHF to pursue the capitated pilot. |
Achievements from this Project
Project Index for Achievements and Lessons Learned
Copyright © 1999-2005 by The Measurement Group LLC. All rights reserved. This may not be current and will not be updated.