Global capitation at a women's health referral center: the challenge of patient selection.
Global risk capitation as a preferred payment method in heavily penetrated managed care markets poses important challenges for women's health care tertiary referral centers that employ participating primary care physicians. Global risk capitation agreements expose those centers to the adverse financial effects of high frequency of obstetric visits, costly infertility and neonatal care, and care of a disproportionate number of patients with complex, resource-intensive conditions.
Sussman
A J
AJ
Brigham and Women's Physician Hospital Organization, Boston, Massachusetts 02115, USA. asussman@partners.org
Barbieri
R
R
Brennan
T A
TA
D002204:Capitation Fee / Q000706:statistics & numerical data*; D003695:Delivery of Health Care / Q000191:economics; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008329:Managed Care Programs / Q000191:economics*; D018579:Patient Selection; D011247:Pregnancy; D012017:Referral and Consultation / Q000191:economics*; D020379:Risk Adjustment; D014481:United States; D014932:Women's Health Services / Q000191:economics*