The future role of managed care and capitation in worker's compensation.
نویسنده
چکیده
منابع مشابه
Managed care, capitation, and the future of nephrology.
Within the next decade, it is predicted that more than 90% of the United States population will receive its health insurance through managed care. Capitation will be the reimbursement mechanism to health care providers as the major way of controlling costs. Currently, managed care has had little experience with capitation payments for chronically ill patients, who consume large financial and ph...
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One can easily generate a noisy and angry discussion in any physicians’ dining room in the United States by bringing up the subject of managed care systems and their use of financial incentives to control physicians’ behavior. Generally, the reaction will range from a palpable frustration among the younger physicians to a feeling of resignation in the senior colleagues. The latter group will th...
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Managed care is changing our health care delivery system as radically as the computer chip has changed telecommunications. Health care professionals and organizations that do not understand managed care's implications will not be prepared for the future. For example, one implication of managed care is payment capitation, which is the transfer of financial risk from the insurer to the provider. ...
متن کاملWeight of Risk Factors for Adjusting Capitation in Primary Health Care: A Systematic Review
Background: Capitation payment is the best-known strategy for paying providers in primary health care. Since health care needs and personal characteristics play an essential role in health care utilization and resource spending, there is a growing tendency on risk adjustment models among health researchers. The objective of this systematic review was to examine the weights used for risk adjust...
متن کاملAre physician reimbursement strategies associated with processes of care and patient satisfaction for patients with diabetes in managed care?
OBJECTIVE To examine associations between physician reimbursement incentives and diabetes care processes and explore potential confounding with physician organizational model. DATA SOURCES Primary data collected during 2000-2001 in 10 managed care plans. STUDY DESIGN Multilevel logistic regressions were used to estimate associations between reimbursement incentives and process measures, inc...
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ورودعنوان ژورنال:
- American journal of law & medicine
دوره 22 2-3 شماره
صفحات -
تاریخ انتشار 1996