The Hungarian Care Managing Organization Pilot Program.

摘要: Objectives: The aim of this article was to provide a description the Hungarian care managing organization (CMO) pilot program and its environment, incentive structure, preliminary outcomes. need change behavior doctors increase effectiveness cost-effectiveness system key rationale for CMO program. Methods: After an application process, nine CMOs were entitled enter into in July 1999. By 2006, there 14 covering 2.1 million people. tried combine advantages both US managed programs UK general practitioner fundholding system, within constraints opportunities CentralEuropean country committed single-payer health insurance system. Results: revenue derived from risk-adjusted capitation. capitation formula weighted only by age sex. expenditures included all on their patients that occurred any part average savings rate fiscal years 1999 2007 4.94%. highest rates realized chronic acute inpatient medical devices. discontinued 2008 without comprehensive evaluation experience. Conclusions: We can conclude had significant contribution modernization