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Cost saving in Armed forces insurance Organization withoutSacrificing the Quality of Care

عنوان مقاله: Cost saving in Armed forces insurance Organization withoutSacrificing the Quality of Care
شناسه ملی مقاله: ICBCMED10_016
منتشر شده در دهمین کنگره بین المللی سرطان پستان در سال 1393
مشخصات نویسندگان مقاله:

Farshad Najafipour - CEO of Islamic republic of Iran Armed forces insurance organization
Amir Norouzi - Head of Health insurance research center, Islamic republic of Iran Armed forces insurance organization

خلاصه مقاله:
Due to insurance coverage for cancer patient in armed forces insurance organization, the mentioned organization has endeavored a greatdeal of financial burden on itself. Regarding to its mission which is Higher quality of care with Lower prices , armed forces insurance organization have turned to Strategic Purchasing for cares, drugs and equipment. Method: This qualitative study designed based on content thematic analysismethod. In first step, a stakeholder analysis was performed to detect experts with prior experiences in these fields which can help us in this issue. Semistructural interviews were performed, afterward thematic analysis was performed and solutions were categorized in five main categories.Result: The selected solutions were as follow; Establishment of a cancer center for managing cancer among covered population, Cancer guidelineadaptation under supervision of medical universities, hold contract with medical facilities which can offer their care due the guidelines and enter our patients data in a pre-designed information system, reorganization of costly drugs and care and involve them in strategic purchasing cycle.Conclusion: The best way to cut costs in an insurance organization is to provide an effective management system without cutting back the coveredservices.

کلمات کلیدی:
Insurance, company, cancer, Strategic purchasing

صفحه اختصاصی مقاله و دریافت فایل کامل: https://civilica.com/doc/726461/