Summary:
The Střešovice health plan is a pilot project of managed care administered for the health insurance company and the Central
Military Hospital Prague by the DG plus team. The objective is to create a practical model where the panel of providers bears
the financial responsibility for a virtual health fund of insured subjects registered with general practitioners of the Plan and
where individual providers coordinate their activities in order to achieve greater effectiveness, to reduce unnecessary costs,
improve services for clients and achieve a higher quality of provided care. The means used is a change in the behaviour of
providers, achievement of better organization of care, better communication between providers in the panel, identification of
common interest based on financial motivation supported by the necessary information in an environment open to autonomous
decision taking.
Key words:
administrator – quality – motivation – costs – health insurance – panel of providers – risk contract – managed care
– DG plus team – Central Military Hospital – health plan
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