Risk sharing in an integrated delivery system.
Development of an effective risk-sharing plan within an integrated delivery system (IDS) involves a complex decision-making process, in which the IDS should carefully assess its options to determine which will best suit its needs. In general, an IDS needs to consider four basic issues: how centralized the financial control of the risk-sharing plan should be; how the plan should be structured (eg, the number and size of budgets, interim provider payment, and the method for allocating surpluses and deficits to provider groups and individual providers); what risk-sharing strategies should be pursued; and how to avoid potentially catastrophic risk.
Benoff
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DanGrauman Associates, Inc., Bala Cynwyd, PA, USA.
Grauman
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D002017:Budgets; D002204:Capitation Fee; D002388:Catastrophic Illness / Q000191:economics; D003361:Cost Allocation; D003659:Decision Making, Organizational; D019033:Delivery of Health Care, Integrated / Q000191:economics*; D005376:Financial Management / Q000379:methods*; D006801:Humans; D015271:Insurance Pools; D007373:Interinstitutional Relations; D017146:Models, Organizational; D012308:Risk Management / Q000379:methods*; D014481:United States