HIV care: a capitated alternative.
Given sufficient and participatory planning, a cluster of excellence for HIV/AIDS could be designed that could yield benefits to payers, providers, and patients. Such a cluster of excellence would be at risk for all care provided to an enrollment population made up of PWAs and would be globally capitated based upon the average cost of providing care to this population in the current, unmanaged health care environment. The cluster would be freed from conventional use constraints and be free to manage the care of their enrollment population with minimal payer interference. But it would be at risk for managing the cost of care to the enrollees within the global capitation rate.
Knowlton
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DL
Knowlton and Associates, Pennington, NJ.
D000163:Acquired Immunodeficiency Syndrome / Q000191:economics; D002204:Capitation Fee; D002908:Chronic Disease / Q000191:economics; D015658:HIV Infections / Q000191:economics* / Q000453:epidemiology / Q000628:therapy; D017048:Health Care Costs; D006801:Humans; D007348:Insurance, Health / Q000639:trends; D008329:Managed Care Programs / Q000191:economics*; D018803:Models, Economic; D014481:United States / Q000453:epidemiology