Managed care and the business of risk management.
The emergence of managed care creates the need for a new paradigm of risk management because of its emphasis on comprehensive services and prospective payment. Information systems, contracts and pricing, utilization management, and outcome research are key elements in devising the new paradigm.
Clarke
R L
RL
Healthcare Financial Management Association, Westchester, IL 60154, USA.
D002204:Capitation Fee; D003132:Commerce; D003363:Cost Control / Q000379:methods; D003659:Decision Making, Organizational; D005376:Financial Management / Q000379:methods; D006302:Health Services Research; D008329:Managed Care Programs / Q000191:economics* / Q000458:organization & administration / Q000706:statistics & numerical data; D008331:Management Information Systems; D015279:Organizational Culture; D009936:Organizational Innovation; D010043:Outcome and Process Assessment, Health Care; D012052:Reimbursement, Incentive; D012308:Risk Management / Q000379:methods* / Q000458:organization & administration; D014481:United States; D014600:Utilization Review