Capitation

Capitation PDF Author: David I. Samuels
Publisher: Irwin Professional Publishing
ISBN:
Category : Business & Economics
Languages : en
Pages : 184

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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.

Capitation

Capitation PDF Author: David I. Samuels
Publisher: Irwin Professional Publishing
ISBN:
Category : Business & Economics
Languages : en
Pages : 184

Get Book Here

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.

The Capitation Sourcebook

The Capitation Sourcebook PDF Author: Peter Boland
Publisher: Jones & Bartlett Learning
ISBN: 9780965271707
Category : Business & Economics
Languages : en
Pages : 672

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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.

Building and Managing Effective Physician Organizations Under Capitation

Building and Managing Effective Physician Organizations Under Capitation PDF Author: Douglas E. Goldstein
Publisher: Jones & Bartlett Learning
ISBN: 9780834208094
Category : Business & Economics
Languages : en
Pages : 386

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Book Description
This resource offers you a unique Building Block system, a proven-effective tool used by organizations to survive and prosper in an era of different reimbursement schemes, from discounted fee-for-service and primary care capitation, to global capitation and percent of premium payment.

Physician Empowerment Through Capitation

Physician Empowerment Through Capitation PDF Author: Clifford R. Frank
Publisher: Jones & Bartlett Learning
ISBN: 9780834212121
Category : Medical
Languages : en
Pages : 280

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Book Description
An overview for readers who are familiar with capitation basics but not experienced in the operational, institutional, and administrative complications involved in capitated care. Lays out the case for why capitation will continue as a payment system, then explores adaptive strategies employed in ma

Capitation Survey 2008

Capitation Survey 2008 PDF Author: HCPro
Publisher: HC Pro, Inc.
ISBN: 160146116X
Category :
Languages : en
Pages : 26

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Book Description


Capitation in California

Capitation in California PDF Author: Maurice J. Penner
Publisher: Maurice Penner
ISBN: 9781567930511
Category : Capitation fees (Medical care)
Languages : en
Pages : 298

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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.

Federal Capitation Support and Its Role in the Operation of Medical Schools

Federal Capitation Support and Its Role in the Operation of Medical Schools PDF Author: United States. General Accounting Office
Publisher:
ISBN:
Category : Federal aid to medical education
Languages : en
Pages : 88

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Book Description


Health Professions Capitation Grants, Fy 72

Health Professions Capitation Grants, Fy 72 PDF Author: Nancy Allen
Publisher:
ISBN:
Category : Medical education
Languages : en
Pages : 68

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Book Description


Accountants' Handbook, Special Industries and Special Topics

Accountants' Handbook, Special Industries and Special Topics PDF Author: D. R. Carmichael
Publisher: John Wiley & Sons
ISBN: 0471456179
Category : Business & Economics
Languages : en
Pages : 842

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Book Description
The premier accounting reference, revised and expanded The Accountants' Handbook series has the longest tradition of any reference of providing comprehensive coverage of the field to both accounting professionals and professionals in other fields who need or desire quick, understandable, and thorough exposure to complex accounting-related subjects. Like its predecessors, the Tenth Edition is designed as a single reference source that provides answers to all reasonable questions on accounting and financial reporting asked by accountants, auditors, bankers, lawyers, financial analysts, and other preparers and users of accounting information. Written by nationally recognized accounting professionals, including partners in major public accounting firms, financial executives, financial analysts, and other relevant business professionals, the Handbook covers both financial accounting and reporting and industry specific accounting issues in separate volumes for easy reference. Its comprehensive content provides analysis on over 43 critical areas of accounting.

Cost-Based, Charge-Based, and Contractual Payment Systems

Cost-Based, Charge-Based, and Contractual Payment Systems PDF Author: Duane C. Abbey
Publisher: CRC Press
ISBN: 1439872996
Category : Business & Economics
Languages : en
Pages : 186

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Book Description
The fourth book in the Healthcare Payment System series, Cost-Based, Charge-Based, and Contractual Payment Systems compares cost-based systems, charge-based payment approaches, and contractually-based payment processes with fee-schedule payment systems and prospective payment systems. Supplying readers with a clear understanding of important background material on the different types of healthcare providers, it covers the basics of cost-based, charge-based, and contractual payment systems. The book illustrates essential concepts with a series of simple case studies—making it ideal for anyone interested in learning more about the specific systems and processes used for payment in healthcare services. It discusses Medicare cost-based payment systems, Medicare payment approaches, and includes an appendix that outlines the various Medicare payment systems. Demystifying contractual language, it outlines managed care contracts and also: Delves into the intricacies involved with adjudication of claims Considers capitated payment systems Addresses healthcare costs and cost-based reimbursement systems Examines charge-based and contractual payment systems Describes where healthcare payment systems are headed in the future Since compliance is inherent throughout the process of providing services, filling claims, and receiving payment, the book examines the range of compliance concerns, including statutory, contractual, and overpayment issues. Using numerous examples to illustrate the processes used for capitated contract arrangements, the book includes coverage of claim adjustment, managed care contracts, and the various combinations of payment systems used by third-party administrators.