Medicare risk contracts--success or failure?
Recent legislation has led to a new popularity in risk contracting. In 1980 a demonstration was begun by the Health Care Financing Administration that provided input for the current capitation program. Administrators from two groups involved in the demonstration program--the Marshfield Clinic and MedCenters Health Plan--offer the unique perspectives of a medical group practice and a health maintenance organization. Significant issues for any group considering entering a Medicare risk based contract are discussed.
D002204:Capitation Fee; D014487:Centers for Medicare and Medicaid Services, U.S.; D003284:Contract Services; D005249:Fees and Charges; D005376:Financial Management; D006123:Group Practice / Q000191:economics*; D006279:Health Maintenance Organizations / Q000191:economics; D006278:Medicare; D010865:Pilot Projects; D012306:Risk; D014481:United States