Risk sharing: health care's latest challenge.
With pressure building to reduce healthcare costs, relations between providers and insurers in the years ahead increasingly will focus on risk sharing and utilization controls. Fixed price agreements and managed care plans are two approaches expected to come into wider use. To cope with coming utilization reviews and efforts to manage outpatient care, hospitals will need information systems allowing them to evaluate patient mixes and service intensities.
St George
J H
JH
Mary Hitchcock Memorial Hospital, Hanover, N.H.
D005376:Financial Management / Q000639:trends*; D005377:Financial Management, Hospital / Q000639:trends*; D007345:Insurance Claim Review; D007350:Insurance, Hospitalization / Q000458:organization & administration*; D008329:Managed Care Programs / Q000191:economics; D011907:Rate Setting and Review; D012308:Risk Management; D014481:United States; D014600:Utilization Review