Author: Maurice J. Penner
Publisher: Maurice Penner
ISBN: 9781567930511
Category : Capitation fees (Medical care)
Languages : en
Pages : 298
Get Book
Book Description
This "from-the-trenches" guide can help you meet the challenges of forecasting a population's healthcare needs, building a provider panel, establishing financial incentives for providers, establishing information systems for managed care, negotiating managed care contracts, & managing utilization & quality.
Author: David I. Samuels
Publisher: Irwin Professional Publishing
ISBN:
Category : Business & Economics
Languages : en
Pages : 184
Get Book
Book Description
Capitation is defined as "a type of risk sharing reimbursement method whereby providers in a plan's network receive fixed periodic payments for health services rendered to plan members". This definition doesn't necessarily mean that hospitals need to lose money. This book provides the tools and techniques for minimizing the financial risk that is associated with this process while maintaining the bottom line.
Author: Sandra Hunt
Publisher: California Healthcare Foundation
ISBN: 9781929008131
Category : Managed care plans (Medical care)
Languages : en
Pages : 31
Get Book
Book Description
Author: Peter Boland
Publisher: Jones & Bartlett Learning
ISBN: 9780965271707
Category : Capitation fees (Health Insurance)
Languages : en
Pages : 672
Get Book
Book Description
Here's a challenge to conventional wisdom that will change the way you think about capitation. This hands-on resource is a collection of articles detailing the most advanced methods used by leading healthcare operational experts on how to provide high-quality care at less cost; manage financial risk more efficiently; design operational, clinical and information systems to meet the needs of patients, practitioners and managed care organizations; structure financial incentives to promote successful collaborations and make the transition from fee-for-service to risk-sharing arrangements. You'll find practical examples of how to build the trust necessary to create win-win solutions to problems that arise between competing yet interdependent interests of the various stakeholders. Edited by Peter Boland, PhD, and based on a "best practices" approach, each of the articles in the book illustrate compensation methodologies that have been successfully implemented with the support of physicians and hospitals.
Author: Lawrence Casalino
Publisher:
ISBN:
Category : Capitation fees (Medical care)
Languages : en
Pages : 66
Get Book
Book Description
Author: Elizabeth A. McGlynn
Publisher:
ISBN:
Category : Medicaid
Languages : en
Pages : 52
Get Book
Book Description
Author: California. Department of Health Services
Publisher:
ISBN:
Category : Cost control
Languages : en
Pages : 136
Get Book
Book Description
Author: Elisabeth Rosenthal
Publisher: Penguin
ISBN: 0698407180
Category : Medical
Languages : en
Pages : 434
Get Book
Book Description
A New York Times bestseller/Washington Post Notable Book of 2017/NPR Best Books of 2017/Wall Street Journal Best Books of 2017 "This book will serve as the definitive guide to the past and future of health care in America.”—Siddhartha Mukherjee, Pulitzer Prize-winning author of The Emperor of All Maladies and The Gene At a moment of drastic political upheaval, An American Sickness is a shocking investigation into our dysfunctional healthcare system - and offers practical solutions to its myriad problems. In these troubled times, perhaps no institution has unraveled more quickly and more completely than American medicine. In only a few decades, the medical system has been overrun by organizations seeking to exploit for profit the trust that vulnerable and sick Americans place in their healthcare. Our politicians have proven themselves either unwilling or incapable of reining in the increasingly outrageous costs faced by patients, and market-based solutions only seem to funnel larger and larger sums of our money into the hands of corporations. Impossibly high insurance premiums and inexplicably large bills have become facts of life; fatalism has set in. Very quickly Americans have been made to accept paying more for less. How did things get so bad so fast? Breaking down this monolithic business into the individual industries—the hospitals, doctors, insurance companies, and drug manufacturers—that together constitute our healthcare system, Rosenthal exposes the recent evolution of American medicine as never before. How did healthcare, the caring endeavor, become healthcare, the highly profitable industry? Hospital systems, which are managed by business executives, behave like predatory lenders, hounding patients and seizing their homes. Research charities are in bed with big pharmaceutical companies, which surreptitiously profit from the donations made by working people. Patients receive bills in code, from entrepreneurial doctors they never even saw. The system is in tatters, but we can fight back. Dr. Elisabeth Rosenthal doesn't just explain the symptoms, she diagnoses and treats the disease itself. In clear and practical terms, she spells out exactly how to decode medical doublespeak, avoid the pitfalls of the pharmaceuticals racket, and get the care you and your family deserve. She takes you inside the doctor-patient relationship and to hospital C-suites, explaining step-by-step the workings of a system badly lacking transparency. This is about what we can do, as individual patients, both to navigate the maze that is American healthcare and also to demand far-reaching reform. An American Sickness is the frontline defense against a healthcare system that no longer has our well-being at heart.
Author: David N. Armstrong, MD
Publisher: Archway Publishing
ISBN: 1480833975
Category : Social Science
Languages : en
Pages : 182
Get Book
Book Description
As US healthcare delivery is in flux, an international surgeon dissects and scrutinizes the performance of socialized medicine in Britain vs the free market healthcare system in the US. The results are sobering. Lacking funds, resources and personnel, socialized medicine results in almost twice the death rate from breast and colon cancer and 50 percent higher mortality from heart attack (myocardial infarction). The high intensity, fast paced US healthcare can presently afford such luxuries as aggressive intervention for cardiac disease, technology-laden surgical procedures and intensive screening for cancer. Meanwhile Britains cash-strapped NHS is over-stretched in keeping up with todays emergencies, with precious few resources to avert tomorrows tragedies. As the Affordable Care Act becomes a reality, US health care delivery takes a sharp turn leftward, following the same trajectory as Britain. Underfunded and overwhelmed, only seven of the original twenty-three health care co-operatives remain open, leaving the US taxpayer with a $1.7 billion dollar bill, and almost one million Americans uninsured, again. Health care is on a fast track to a Lehman Brothers 2.0, when the health care sector will be on life support from the US taxpayer, and a single payer system will emerge, with its second rate outcomes. When this day dawns, a US national health service will surface, just like Britains: Free for all, from cradle to grave. And accountable to none.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309056837
Category : Medical
Languages : en
Pages : 253
Get Book
Book Description
Market forces are driving a radical restructuring of health care delivery in the United States. At the same time, more and more people are living comparatively long lives with a variety of severe chronic health conditions. Many such people are concerned about the trend toward the creation of managed care systems because their need for frequent, often complex, medical services conflicts with managed care's desires to contain costs. The fear is that people with serious chronic disorders will be excluded from or underserved by the integrated health care delivery networks now emerging. Responding to a request from the National Institute of Arthritis and Musculoskeletal and Skin Diseases, this book reflects the results of a workshop that focused on the following questions: Does the model of managed care or an integrated delivery system influence the types of interventions provided to patients with chronic conditions and the clinical and health status outcomes resulting from those interventions? If so, are these effects quantitatively and clinically significant, as compared to the effects that other variables (e.g., income, education, ethnicity) have on patient outcomes? If the type of health care delivery system appears to be related to patient care and outcomes, can specific organizational, financial, or other variables be identified that account for the relationships? If not, what type of research should be pursued to provide the information needed about the relationship between types of health care systems and the processes and outcomes of care provided to people with serious chronic conditions?
