At-risk for results: guaranteeing performance based on patient outcomes.
The author examines how managed care organizations can circumvent purchasers' overemphasis on price by proposing outcomes-based reimbursement arrangements. He explains the necessity for an organization to first develop an information system and outcomes measurement infrastructure that will support such an arrangement. He then explains the types of outcomes that purchasers express most interest in using for reimbursement, and several types of arrangements that have been proposed. He also speculates about how such arrangements might also be made between managed care organizations and contracted providers.
Meyer
Z J
ZJ
MCC Behavioral Care, Eden Prairie, MN, USA.
D008329:Managed Care Programs / Q000191:economics / Q000458:organization & administration / Q000592:standards*; D008605:Mental Health Services / Q000191:economics / Q000458:organization & administration / Q000592:standards*; D017063:Outcome Assessment, Health Care / Q000191:economics*; D011787:Quality of Health Care; D012051:Reimbursement Mechanisms; D012941:Social Responsibility; D014481:United States