Capitation. Theory, practice, and evaluating rates for gastroenterology

Autor:	M L, Weinstein
Rok vydání:	1998
Předmět:	Health Care Rationing Negotiating Data Interpretation Statistical Managed Care Programs Gastroenterology Humans Capitation Fee Models Theoretical Medicare United States Program Evaluation
Zdroj:	Gastroenterology clinics of North America. 26(4)
ISSN:	0889-8553
Popis:	Capitation risk contracting has the potential to combine insurance functions with medical care functions. Success depends on a careful consideration of the capitation rate and a thorough understanding of all capitation contract issues. Proper incentives to physicians in a specialty network stimulate a major reengineering effort to squeeze the inefficiency out of the system. Within the network, true peer review can effectively diminish variability in medical care. Such variability leads to increased cost without benefit to health status. The superior medical management of a capitated specialty network can create added value by coordinating more cost-effective and appropriate evaluation and therapy.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=pmid________::1fbe9c4136eb88a75bfd5fa33d56b788 https://pubmed.ncbi.nlm.nih.gov/9439954 Zobrazit plný text záznamu