The marriage of risk management and the processes of patient care.
So, your organization is considering taking on a capitation contract. Or you have already done so. Sooner or later, most physician executives with whom I have worked have asked the question: "How the hell are we going to manage this thing so we don't go broke?" Good question. Here, in brief, is the answer: Accepting capitated contracts without having the resources to manage both insurance-like risk and the process of caring for capitated patients is roughly equivalent to flying through mountains shrouded by clouds: Sooner or later, a mountainside is likely to appear in your windshield, close up and closing rapidly, at a point where it is too late to do anything about it!
Clearwater Group, Ltd., Los Gatos, CA, USA.
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Ray
D002204:Capitation Fee; D006123:Group Practice / Q000191:economics*; D006759:Hospital-Physician Joint Ventures / Q000458:organization & administration; D007193:Independent Practice Associations / Q000458:organization & administration; D008329:Managed Care Programs / Q000191:economics*; D017146:Models, Organizational; D017064:Process Assessment, Health Care / Q000191:economics; D012308:Risk Management / Q000191:economics*; D014481:United States