Chapter 5 - - How HSs Are Organized课件.ppt

興起整合策略熱潮之因？ 外在環境機會與威脅 經濟 文化 自然 政策 科技 人口 競爭者 供應商 顧客 社會大眾 組織 精品文档 興起整合策略熱潮之因？ 水平整合可創造的組織優勢 Operational efficiency Minimize redundancy and duplication Reduce number of competitors Align and achieve strategic purposes among units Promote channeling to flagship Expand geographic coverage Improve negotiating leverage with payers Hurley, R.E. 精品文档 興起整合策略熱潮之因？ 垂直整合可創造的組織優勢 Control patient flow/lock-in market share Solidify affiliation, particularly with physicians Position to receive and distribute capitation Pursue seamlessness across continuum of care Offer alternative distribution and contracting options Diversify revenue sources Hurley, R.E. 精品文档 國際之整合趨勢與借鏡 精品文档 精品文档 Slide * Chapter 5 - - How HSs Are Organized 精品文档 How Health Systems Are Organized 精品文档 Not all linkages among HSOs are established for the purpose of creating HSs. Linking to form HSs is only one interorganizational relationship (IOR) that HSOs establish and maintain with other entities. The wide variety of resulting HSs: relatively simple arrangements many HSOs result in a large, complex HS that is capable of providing a continuum of health services in its market Two overarching aspects…p223 精品文档 Interorganizational Relationships..p224 The most prevalent type of IOR are involved is the market transactions between them and other entities. It can ensure markets for its services through IORs with insurance companies, managed care plans, employers, or groups of employers joined together in purchasing coalitions. Involuntary IORs Voluntary IORs: Strategic Alliances (SAs) 精品文档 Reasons to Ally..p226 The external environments facing many independent HSOs have grown increasingly difficult, turbulent, and challenging. Managed Care Organizations: integrate the financing and delivery of health services MCO provide the coverage – health