Dispelling managed care myths.
A number of ideas regarding managed care and capitation are commonly accepted as truths. In reality, however, these ideas are half-truths or myths. Healthcare providers need to challenge some of these myths in order to respond proactively to change. Some of the traditional thinking about managed care that needs realignment includes the belief that PHOs essentially are transitional vehicles and not viable, long-term solutions; that the incentives under fee-for-service payment conflict totally with the incentives under capitation; that under global capitation, the best method for paying primary care physicians is capitation and the best way to pay specialists is discounted fee-for-service; and that small, exclusive physician panels are the most successful for managed care.
Jennings
M C
MC
Jennings Ryan and Kolb, Hadley, MA, USA.
Clark
C S
CS
D002204:Capitation Fee; D014487:Centers for Medicare and Medicaid Services, U.S.; D018588:Fee-for-Service Plans; D006759:Hospital-Physician Joint Ventures / Q000191:economics* / Q000458:organization & administration; D008329:Managed Care Programs / Q000191:economics* / Q000458:organization & administration; D009229:Mythology; D010816:Physician Incentive Plans / Q000191:economics*; D011641:Public Relations; D012052:Reimbursement, Incentive; D014481:United States