Evaluating risk: global fees and episodic care.
In 1999, two articles in The Physician Executive -- "Part I: Global Theory and the Nature of Risk (July-August)." and "Part II: Towards a Choice-Based Model of Managed Care (October-November)" -- outlined the flaws of orthodox managed care theory and highlighted the unique advantages of moving to a genuinely market-based model, which included the concept of direct contracting for integrated episodes of care.  This follow-up focuses on comparing an episode contracting system to a traditional capitated program and outlines the features that make this approach much more attractive to physicians, payers, and most importantly patients.
Emery
Doug
D
Semmetry Health Data Systems, Inc., Phoenix, Arizona, USA. demery@adelphia.net
Wrobel
Kurt
K
Robbins
Russell D
RD
Tully
Lorraine
L
Schulte
Lisa
L
D002204:Capitation Fee; D003284:Contract Services / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D017050:Episode of Care; D018588:Fee-for-Service Plans; D005251:Fees, Medical; D019981:Health Care Sector; D006801:Humans; D008329:Managed Care Programs / Q000191:economics; D006278:Medicare; D012308:Risk Management / Q000458:organization & administration*; D014481:United States