Revenue models in managed competition.
As physicians and medical centers move into a changing reimbursement era, it is valuable for physician executives to have tools to help physicians understand the relationships among costs, revenues, and utilization. These relationships differ within the fee-for-service, prepaid, and managed fee-for-service revenue models. This article describes these different revenue models and highlights the benefits and issues associated with each model.
Mischler
N E
NE
Physicians Plus Insurance, Madison, WI.
D002204:Capitation Fee; D016536:Competitive Medical Plans / Q000191:economics; D005251:Fees, Medical; D007182:Income / Q000706:statistics & numerical data*; D008329:Managed Care Programs / Q000191:economics*; D017059:Models, Econometric; D017061:Prepaid Health Plans / Q000191:economics*; D012051:Reimbursement Mechanisms; D014481:United States