尽管美国的医疗保障制度远不足以充当别人的榜样，但其健康保险机构推行的管理型医疗保健(managed care)在提高医疗服务管理水平，控制医疗服务费用方面取得了令人瞩目的成效，正在受到愈来愈多的国家的重视。
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为此，开展医学技术评估对实施管理型医疗保健有积极的作用。
Thus, conducting evaluation of medical techniques plays an active role in carrying out managed care.
各州相继试行管理型医疗保健制度，但如何对其实行状况进行监督却是个难题。
The question is how to supervise the experiments with managed care that are being carried out in various states.
未来三年，纽约市将会转移全部的公共医疗补助人群至“管理型医疗保健”体系，即支付其他公司一定费委托其为贫困者提供医疗保障，而不是为贫困者的每一项医疗开销逐一买单。
Over the next three years, New York will move its entire Medicaid population into "managed care", paying companies a set rate to tend to the poor, rather than paying a fee for each service.
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