Specialty capitation and effectiveness assessment.
In 1988, the Southern Region of Blue Cross Blue Shield of Florida undertook a major initiative involving Health Options, Inc., its HMO subsidiary. The intent was to convert specialty contracting from a discounted fee-for-service methodology to capitated payment. Each specialty network is radically transformed into a freestanding IPA, independently incorporated and contracted to the plan for the provision of all included services. The project has financial and legal implications, and maintenance of quality and member satisfaction has been a paramount consideration.
Lazarovic
J
J
Blue Cross/Blue Shield of Florida, Ft. Lauderdale.
D054598:Blue Cross Blue Shield Insurance Plans / Q000458:organization & administration; D002204:Capitation Fee; D004470:Economics, Medical; D005431:Florida; D007193:Independent Practice Associations / Q000191:economics / Q000458:organization & administration*; D008511:Medicine / Q000458:organization & administration*; D017146:Models, Organizational; D010934:Planning Techniques; D015397:Program Evaluation; D013038:Specialization