Development of provider networks for specific diseases.
Carve out contracting for specific diseases and specialty services has become extremely common in a very short time. The goal of carve out contracting is simple: to place responsibility for managing care and its cost in the hands of those best suited to provide and manage care. This article provides an overview of carve out contracting for specific diseases. While the article focuses on business and legal issues relating to AIDS/HIV and ESRD, the principles discussed are applicable to numerous diseases.
Pristave
R J
RJ
Health Care Department, Ross & Hardies, Chicago, Illinois, USA.
Becker
S
S
Gutierrez
L
L
D019058:Community Networks / Q000331:legislation & jurisprudence / Q000458:organization & administration*; D004470:Economics, Medical; D005376:Financial Management / Q000331:legislation & jurisprudence / Q000379:methods*; D015658:HIV Infections / Q000191:economics; D006801:Humans; D007676:Kidney Failure, Chronic / Q000191:economics; D016365:Liability, Legal; D017146:Models, Organizational; D011243:Preferred Provider Organizations / Q000331:legislation & jurisprudence / Q000458:organization & administration*; D012051:Reimbursement Mechanisms; D013038:Specialization; D014481:United States