Key provisions strengthen hospital capitation contracts.
Hospitals that accept capitation payments can expect both risks and rewards. The rewards include a dependable revenue stream and economic incentives aligned with those of physicians. The risks are related to payment issues, provision of services, utilization projections, and contract disputes. By ensuring that capitation contracts adequately address these and other issues, hospitals can minimize their exposure to risk.
Duncheon
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MA
Hanson, Bridgett, Marcus, Vlahos & Rudy, San Francisco, CA, USA.
Wolf
D B
DB
D000206:Actuarial Analysis; D002204:Capitation Fee; D002391:Catchment Area, Health; D003284:Contract Services / Q000191:economics / Q000592:standards*; D005377:Financial Management, Hospital / Q000379:methods*; D008329:Managed Care Programs / Q000191:economics*; D010816:Physician Incentive Plans / Q000191:economics; D011785:Quality Assurance, Health Care; D012308:Risk Management / Q000592:standards; D014481:United States