Physician profiling and capitated income distribution.
Increasingly, gastroenterologists are addressing the practice issues of physician profiling and capitation. This article describes a method to easily create practice-generated physician profiles that are used in quality of care management and contracting decisions. These profiles are also used as part of a method for capitation revenue distribution that is described and that has been used by the author's practice for over 3 years. This capitation revenue distribution methodology properly rewards the provision of cost-effective care and bonuses desirable to physician-patient relationships, while protecting against under- or over-utilization.
Overholt
B F
BF
Gastrointestinal Associates, P.C., Knoxville, Tennessee, USA.
D002204:Capitation Fee; D005251:Fees, Medical; D005762:Gastroenterology / Q000191:economics*; D006801:Humans; D008329:Managed Care Programs / Q000191:economics; D015895:Relative Value Scales; D012456:Salaries and Fringe Benefits / Q000706:statistics & numerical data; D014481:United States