Is your organization ready to share financial risk with HMOs?
Of growing importance in healthcare delivery is the issue of how the risk of providing services to healthcare maintenance organizations (HMOs) enrollees should be shared by the provider and the HMO. Understanding and monitoring risk-sharing arrangements and how they are developing is critical. This article reviews the trends in managed care and risk sharing and examines regulation of capitation and risk sharing as it varies form state to state.
Coyne
J S
JS
Healthcare Data-Bank, Santa Rosa, CA.
Simon
S D
SD
D002204:Capitation Fee; D003191:Comprehensive Health Care / Q000191:economics; D005377:Financial Management, Hospital / Q000639:trends*; D006264:Health Benefit Plans, Employee / Q000191:economics; D006279:Health Maintenance Organizations / Q000191:economics*; D007373:Interinstitutional Relations; D012308:Risk Management / Q000191:economics*; D014481:United States