The Brazilian dental care sector is facing a paradoxical crisis characterized by a surplus of dentists and a large contingent of people lacking dental care, thus highlighting the need to improve management strategies. One necessary step is to analyze the various payment schemes for dental services. This paper reviews two important approaches, fee for service and capitation, and considers the im...

Dan Beckham's "The Beginning of the End for HMOs," a two-part article in the Nov./Dec. 1997 and Jan./Feb. 1998 issues of this journal, contends that the capitation/channeling model of healthcare and the entire HMO industry that has been built on it is dying. In a recent letter, Jeff Goldsmith, noted healthcare futurist and frequent contributor to this journal, raises questions about Beckham's a...

The increasing trend of health care costs has prompted the government to seek financing alternatives that can streamline funds without reducing quality services. One such system is implementation commitment-based capitation consequence where puskesmas paid based on number registered participants who are responsible for its effectiveness monitoring by looking at tendency contact numbers (≥1500/0...

The United States stands at a crossroads in how to pay for health care. Fee for service, the dominant payment model in the U.S. and many other countries, is now widely recognized as perhaps the single biggest obstacle to improving health care delivery. A battle is currently raging, outside of the public eye, between the advocates of two radically different payment approaches: capitation and bun...

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...

The growth of managed care has generated numerous changes in the American health care delivery system. Foremost of the changes affecting physicians in California has been the shift from practicing independently to affiliating with organized provider groups, such as medical groups and independent practice associations (IPAs). This reorganization has occurred in conjunction with the transfer of f...