Capitation: strategies for success with managed care contracts.
With enrollments in HMOs increasing at double digit rates, independent practice associations, integrated medical groups, hospitals and specialty networks are experiencing a substantial increase in the share of their business paid for through capitation. Experience has shown that once one contract is signed, many are sure to follow. Providers must make sure each contract signed is financially sound for the organization. Then they must be able to manage and monitor contracts long after the ink is dry. This column provides a brief overview ad list of pointers for organizations moving into the managed care arena.
Kuklierus
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Friendly Hills Health Care Foundation, Whittier, CA, USA.
D002204:Capitation Fee; D003284:Contract Services / Q000191:economics / Q000592:standards*; D003657:Decision Making; D005069:Evaluation Studies as Topic; D018588:Fee-for-Service Plans; D006279:Health Maintenance Organizations / Q000191:economics* / Q000592:standards; D019458:Insurance Coverage; D010934:Planning Techniques; D011907:Rate Setting and Review; D014481:United States