title: Evaluating risk: global fees and episodic care.
abstract: 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.
authors.affiliation: Semmetry Health Data Systems, Inc., Phoenix, Arizona, USA. demery@adelphia.net
authors.forename: Doug
authors.initials: D
authors.lastname: Emery
authors.forename: Kurt
authors.initials: K
authors.lastname: Wrobel
authors.forename: Russell D
authors.initials: RD
authors.lastname: Robbins
authors.forename: Lorraine
authors.initials: L
authors.lastname: Tully
authors.forename: Lisa
authors.initials: L
authors.lastname: Schulte
mesh_terms: 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