Advanced pricing strategies for hospitals in contracting with managed care organizations.
This article provides both a conceptual overview of pricing health care services and two pricing strategy examples. The overview addresses the underlying concepts of pricing, the factors that influence it, and the risk continuum of pricing approaches. The pricing strategy examples highlight some of the issues and considerations involved in pricing services in a changing health care market. Because the payors of health care will continue to shift economic risk to the providers of health care, the examples emphasize the importance of managing risk.
Horowitz
J L
JL
Jennings Ryan & Kolb, Atlanta, GA.
Kleiman
M A
MA
D003284:Contract Services / Q000191:economics*; D005245:Fee Schedules; D005377:Financial Management, Hospital / Q000379:methods*; D017722:Hospital Charges; D017721:Hospital Costs; D008329:Managed Care Programs / Q000191:economics*; D017063:Outcome Assessment, Health Care / Q000191:economics; D010934:Planning Techniques; D011907:Rate Setting and Review / Q000379:methods*; D012308:Risk Management / Q000191:economics; D012720:Severity of Illness Index; D014481:United States