Vertical integration models to prepare health systems for capitation.
Health systems will profit most under capitation if their vertical integration strategy provides operational stability, a strong primary care physician base, efficient delivery of medical services, and geographic access to physicians. Staff- and equity-based systems best meet these characteristics for success because they have one governance structure and a defined mission statement. Moreover, physician bonds are strong because these systems maximize physicians' income potential and control the revenue stream.
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Managed Care Research Division of Hewitt Associates, Newport Beach, CA, USA.
D002204:Capitation Fee; D005194:Family Practice / Q000191:economics; D005376:Financial Management; D006123:Group Practice / Q000191:economics; D006279:Health Maintenance Organizations / Q000458:organization & administration*; D006297:Health Services Accessibility; D007182:Income; D017146:Models, Organizational; D011320:Primary Health Care / Q000191:economics; D018511:Systems Integration; D014481:United States; D000078329:Workforce