ÀÏ×ÓÓÐÇ®lzyq88¹ÙÍø

À´Ô´£ºÒøÐнðÌõ  £¬×÷Õߣº Ë®Äà  £¬£º

½²µ½ÚüÖÝ  £¬ÄãÏþµÃû  £¬ÕâµØ·½²»¿ÉÊǸöÀúÊ·ÓÆ¾ÃµÄµØ·½  £¬Õվɸö½²¾¿Éú»îÊæÌ¹µÄµØ·½¡£×î½üÌýÈ˳¶Ì¸  £¬ËµÚüÖÝÓÐÒ»ÌõÍÆÄÃÒ»Ìõ½Ö  £¬¸ãµÃÎÒÐÄÀïÑ÷Ñ÷µÄ  £¬·ÇµÃÎÊÇå³þÊÇÄÄ¿­¡£ÕâÒ»Ìõ½Ö  £¬¾¿¾¹½ÐʲôÃû×Ö  £¬±³ºóÓÖÓÐɶÓÐȤµÄ¹ÊÊÂÄØ£¿

ÚüÖÝÍÆÄÃÒ»Ìõ½ÖµÄÓÉÀ´

ุúÄ㽲࣠ £¬ÚüÖÝÕâÍÆÄÃÒ»Ìõ½Ö°¡  £¬ÂÑÀ´Í·ÕÕ¾ÉÂù´óµÄ¡£¾Ý˵ÒÔǰÕâÀï¾ÍÓÐһȺÐÑÁúÍÆÄÃʦ¸µ  £¬ËûÃǼ¼Êõ²»µ«µð¸Ü  £¬»¹Ìرð»á¸ãÆø·Õ¡£ÄãÏþµÃû  £¬È˼ҸãµÃÓÐÄ£ÓÐÑù  £¬Ê±¼ä¾ÃÁË  £¬ÕâÀï¾Í³ÉÁË¡°ÍÆÄÃÒ»Ìõ½Ö¡±¡£µ«¾ßÌå½ÐʲôÃû×Ö  £¬ºÙºÙ  £¬ÌýÈ˽²ÊÇ¡°ÑøÉú½Ö¡±  £¬²»¹ýÒ²ÓÐßóÔû³æËµÊÇ¡°¿µÀÖ½Ö¡±  £¬¹À¶Ñ¶¼ÊǽÐÄñÔÚ³¶ÂÑ̸¡£ÌýÎÒ½²  £¬¸ãÂÑû¼û  £¬È¥µ½ÏÖ³¡²ÅÏþµÃ¸ü×Ó¡£

ÍÆÄýֵÄÌØÉ«Ð§ÀÍ

Ïà¹ØÍ¼Æ¬

½²µ½Ð§ÀÍ࣠ £¬ÕâÌõ½ÖÉϲ»Ö¹ÓÐÍÆÄà  £¬ÁíÓÐÖÖÖÖÑøÉúµÄ»¨Í·Ñ¼Ð§ÀÍ¡£Ê²Ã´×ãÔ¡¡¢ÍÆÄᢰι޶¼ÓÐ  £¬ÂÑ»ðÌ̵úܣ¡Ìý˵ÁíÓÐһЩרÃÅ×öÏãÞ¹ÍÆÄõĵê  £¬½øÈ¥Ò»ÎÅÄÇÏãζ  £¬ÂÑÊÇµÄ  £¬Ë¬µ½ÂѶ¼µø¡£¸ü×Ó½²  £¬ÍÆÄÃʦ¸µµÄÊÖÒÕ»¹·ÖÆ·¼¶  £¬ÓÐЩÈËÊÇÈý½Åè  £¬¼Û¸ñ×ÔÖÆ  £¬ÆäËû¾ÍÊÇÐÑéÏé­  £¬¹óÊǹóµã  £¬µ«ÕæµÄÊÇËãÂÑÃ͵Ä¡£

ÐÑÁúµã£ºÈç¹ûÏëÌåÑé×îµð¸ÜµÄÍÆÄà  £¬½¨Òé¿ËÄÇÀïÎÊÏÂÍâµØÈË  £¬ÄļÒ×î¿¿Æ×¡£±ðÌýÄÇЩßóÔû³æÂÒ´µ  £¬¸ãŨˮµÄµêÒ²²»ÉÙ¡£

´ºÔËÆÚ¼äµÄÌØ±ð°²ÅÅ

¶ªÄÇÐÇ  £¬´ºÔËÕâ¶Îʱ¼ä°¡  £¬ÕâÀïÂѼ·È˶¼Ã»£¡ÍÆÄýֵÄÉúÒâÕæÊÇñ²µÃÂѶ¼µø  £¬ÓÈÆäÊÇÄÇЩ´ÓÍâµØ»Ø¼ÒµÄÈË  £¬ÀÛµÃÏñÃÆÍ·¼¦Ò»Ñù  £¬ÍÆÄóÉÁ˸ö¸ÕÐè¡£Ìý˵ÓÐЩµê»¹¸ãÁË´ºÔËÌ×²Í  £¬¼Û¸ñÂéÖ±»®Ëã  £¬»¹Ë͵ãÑøÉú²è  £¬ÂѺúȵúÜ¡£

Ïà¹ØÍ¼Æ¬

ÍÆÄýֵÄÃØÃÜСµê

½²µã±ðµÄ¹þ  £¬ÕâÌõ½ÖÉÏÁíÓÐЩ²ØÔÚ½ÇÂäµÄµê  £¬½ÐÄñÒ»°ã¶¼²»ÏþµÃ¡£à¸¸úÄ㽲࣠ £¬ÓÐÒ»¼Òµê¾Ý˵ÊÇ¡°ÀÏÊÖÒÕ¡±´«³Ð  £¬Ê¦¸µ¶¼ÎåÊ®¶àËêÁË  £¬ÊÖ·¨µð¸ÜµÃºÜ  £¬¼Û¸ñ»¹ÂÑ×ÔÖÆ¡ £ÁíÓÐÒ»¼Ò¸ã×ãÁÆµÄ  £¬Çé¿öŪµÃ¸ú¹¬µîËÆµÄ  £¬½øÈ¥¾ÍÏñµôÄ㹫¹êÁË  £¬ÂѸ߶ˣ¡

Ïà¹ØÍ¼Æ¬

ÄǾ¿¾¹ÕâÌõ½Ö½ÐʲôÃû×ֲŶÔ£¿ËãÂÑÃÍ£¡Äã¾Í¼Ç×ÅÒ»µã  £¬¿ËÎÊÍâµØÈË  £¬ËûÃDzÅÊÇ×î¿¿Æ×µÄµ¼º½£¡

ÚüÖÝÍÆÄÃ, ÍÆÄÃÒ»Ìõ½Ö, ÑøÉú½Ö, ´ºÔËÍÆÄÃ, ÍâµØÌØÉ«

¡¶ºé²¨¹«Ô°ÍíÉÏ¿ì²Í¼¸¶àǮһ´Î¡·

¾Ýƽ°²½¡¿µÏà¹ØÂôÁ¦È˽éÉÜ  £¬´Ë´ÎЧÀÍÉý¼¶½«ÓÅÖÊ¡¢±ã½ÝµÄҽҩЧÀÍÑÓÉìÖÁÉ̱£ÓëÆóÒµ³¡¾°  £¬ÆÚ´ýʵÏÖ½¡¿µÐ§ÀͼÛÖµ¾«×¼Â䵨¡£Õë¶ÔÉ̱£¿Í»§  £¬Æ½°²½¡¿µ½«Ò½Ò©Ð§ÀÍÓë°ü¹Ü°ü¹ÜÉî¶ÈÈÚºÏ  £¬¿Í»§ÔÚÏíÊÜÔÚÏßÎÊÕï¡¢Âý²¡ÖÎÀíµÈÒ½½¡Ð§À͵Äͬʱ  £¬¼´¿ÉÖ±½Óͨ¹ýÖйúƽ°²Ö¸¶¨appʹÓÃÓëÏàÖú·½Áª¶¯µÄÒ©Æ·ÅäËÍЧÀÍ¡£ºóÐøÆ½Ì¨»¹½«ÒÀÍÐÆ½°²¼¯ÍŰü¹ÜÖ§¸¶ÓÅÊÆ  £¬Ì½Ë÷"ÔÚÏßÎÊÕï+´¦·½Á÷ת+Ò©Æ·Ö±Åâ/½áËã"µÄÁ¢Òìģʽ  £¬½øÒ»²½¼ò»¯ÀíÅâÁ÷³Ì  £¬ÊµÏÖ"¿´²¡£­¹ºÒ©£­ÀíÅâ"һվʽ±Õ»·¡£±ðµÄ  £¬Õë¶Ôƽ°²¼¯ÍÅÆìϰü¹Ü¹«Ë¾µÄÆóÒµ¿Í»§ÈºÌå  £¬ÆäÔ±¹¤¿Éͨ¹ýÆóÒµ½¡¿Ã÷ÈÕË»§  £¬ÏíÊÜ¿ìËÙ¹ºÒ©ÅäËÍ¡¢ÔÚÏßÎÊÕïµÈ¶àÏîЧÀÍ¡£ÕâÒ»¾Ù´ë²»µ«ÌáÉýÁËÔ±¹¤½¡¿µË®Æ½ÓëÖ°³¡ÂúÒâ¶È  £¬¸üΪÆóÒµ¹¹½¨¸ßÖÊÁ¿½¡¿µÖ°³¡ÌṩÓÐÁ¦Ö§³Å¡£½ØÖÁĿǰ  £¬Æ½°²½¡¿Ã÷ÈÕûºÏ¶à·½ÓÅÖÊ×ÊÔ´µÄÒ©Æ·ÍøÂçЧÀÍÒÑÖð²½ÊµÏÖ¸öÈËÓû§¡¢ÆóÒµÔ±¹¤¡¢½ðÈÚ¿Í»§µÄ´¥µãÈ«ÃæÁýÕÖÓëÈ«ÓòÉøÍ¸¡£

¡¶»áËùÐÔ¸ÐÃÀŮЧÀÍ¡·

£¨1£©ÃÀ¹ú˾·¨²¿ÐÌÊÂÓëÃñÊÂÊӲ죨½¹µãΣº¦£©¡£2025Äê5Ô  £¬ÃÀ¹ú˾·¨²¿Õë¶ÔÆäMedicare Advantage£¨Áª°îÒ½±£ÓÅÊÆ¼Æ»®£©ÒµÎñ  £¬»³ÒÉUNHͨ¹ýÆìÏÂOptum Health¿ØÖƵÄÒ½ÉúÍøÂçºÍITϵͳ  £¬ÏµÍ³ÐÔ¿ä´ó»¼Õß²¡ÇéΣº¦ÆÀ·Ö£¨Risk Score Upcoding£©  £¬ÒÔ»ñÈ¡¸ü¸ßÕþ¸®²¹Ìù¡£¹«Ë¾ÒÑÖ÷¶¯ÅäºÏÌá½»Îļþ  £¬²¢¸ü»»ÂÉËùÎªÌØÀÊÆÕϵSullivan & Cromwell £»½ØÖÁ2026Äê1Ô  £¬ÊÓ²ìÈÔÔÚ½øÐÐ  £¬Î´¸æ¿¢Ï¢Õù¡£Èô×øÊµÆÛÕ©  £¬¿ÉÄÜÃæÁÙÊýÊ®ÒÚÃÀÔª·£¿î  £¬ÉõÖÁ±»ÔÝÍ£¼ÓÈëÁª°îÒ½±£ÏîÄ¿×ʸñ  £¬Õ⽫ֱ½Ó¹¥»÷Õ¼ÆäÊÕÈ볬40%µÄÕþ¸®ÒµÎñ¡£

¡¶24СʱQQ¿ì²ÍÃÃÃâ·ÑÏàÖú¡·

·Åµ½µçÍøÉ豸ÐÐÒµÄÚÕûÌåÀ´¿´  £¬ÖйúÎ÷µçµÄëÀûÂÊÌåÏÖ´¦ÓÚÊ²Ã´Ë®×¼ÄØ£¿ÎÒÃÇѡȡµçÍøÉ豸ÐÐÒµÄÚ¼¸¼Ò´ú±íÐÔ¹«Ë¾½øÐÐÊÓ²ì  £¬¸ÃÐÐÒµ½üÎåÄêÏúÊÛëÀûÂÊÖ÷ÒªÔÚ15%-30%Ö®¼ä¸¡¶¯¡£

ÍøÕ¾µØÍ¼