Establishing reserves for capitation contracts.
Capitation introduces a number of significant considerations to financial reporting that normally are associated with insurance. These considerations arise for two reasons: (1) because providers receive revenue before services are rendered and (2) because providers assume the risk that the expenses they incur in delivering contracted services may exceed revenue. Both factors should be accounted for on financial statements by creating reserves representing actual and potential liabilities associated with capitation contracts as of the statement date. Continuous review of these reserves is necessary to ensure they remain adequate and are allocated appropriately.
Sulger
J F
JF
Thomson Management Solutions, Lyme, CT, USA.
D000066:Accounting; D000206:Actuarial Analysis; D002202:Capital Financing; D002204:Capitation Fee; D003284:Contract Services / Q000191:economics; D003365:Costs and Cost Analysis; D005377:Financial Management, Hospital / Q000379:methods*; D011216:Practice Management, Medical / Q000191:economics*; D012308:Risk Management; D014481:United States