The Potential of Global Payment: Insights from the Field
نویسنده
چکیده
Increasing awareness of cost and quality problems caused by the prevailing feefor-service payment system has led to a reemergence of interest in payment models that build on the capitation approach, generally referred to as global payment. This project interviewed and surveyed physician leaders of small and large organizations, as well as other industry experts with experience with managed care in a variety of global payment arrangements, to glean insights into global payment successes and failures. Results showed that many issues plaguing capitation payment programs in the 80s and 90s have largely been resolved and that physicians and industry leaders felt that cost reductions of 20 percent to 30 percent are achievable under well-constructed global payment models, while improving quality of care. Industry experts strongly recommended that a range of global payment structures be phased in and applied to both large and small physician entities. Support for this research was provided by The Commonwealth Fund. The views presented here are those of the authors and not necessarily those of The Commonwealth Fund or its directors, officers, or staff. To learn more about new Commonwealth Fund publications when they become available, visit the Fund’s Web site and register to receive e-mail alerts. Commonwealth Fund pub. no. 1373.
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