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Managed Care
November 2004
Abandonment of Capitation May Inflate MCO's Costs Medical groups and IPAs in strong managed care markets are significantly less likely to use fee-for-service methods to pay their physician members than are organizations in markets with less managed care presence. mark for My Articles similar articles
Managed Care
April 2000
Cigna Colorado Ends Capitation For Most Primary Care Physicians In a strategic move aimed at retaining and recruiting top physicians, Cigna HealthCare of Colorado has dumped capitation. In late February, the insurer began paying most of its physicians in the state on a discounted fee-for-service basis.... mark for My Articles similar articles
Managed Care
May 2005
New Model, More Money for Family Docs A new practice-level financial model described in the report "Future of Family Medicine" estimates that a five-physician practice could see a 26 percent increase in compensation if it implemented this model and continued to use the current fee-for-service system of payment. mark for My Articles similar articles
Managed Care
July 2007
John Marcille
Perverse Incentives Abound, But Maybe We Can Control Them With all the intellectual capital working on the problem of provider compensation, you'd think perverse incentives would be curbed. mark for My Articles similar articles
Managed Care
January 2007
Change From Salary to Relative Value Units Leads to Higher Income for Physicians A Minnesota medical group that contracted with HealthPartners was able to improve cost of care, physician compensation, and patient access without harming patient satisfaction when the group converted from a salary payment system for physicians to one solely dependent on physician productivity. mark for My Articles similar articles
Managed Care
July 2002
Michael D. Dalzell
Has Capitation Weathered the Storm? More difficult than ever to pull off, health care on a fixed, per-capita budget has gone out of style in a number of areas. But many things are cyclical - and this trend may be, too. mark for My Articles similar articles
Managed Care
October 2004
Does Payment Method Drive Procedure Rates? In a study involving three large HMOs, researchers reviewed encounter and claim data for specialty services associated with different rates of performance of invasive procedures. mark for My Articles similar articles
Managed Care
July 2007
Tom Reinke
Better Ways to Pay Providers Paying for coordinating care and for packages of services -- bundling and episodes of care -- may be the best bet for a modification of the unfettered fee-for-service system. mark for My Articles similar articles
Managed Care
December 2002
Providers turn to fee-for-service charges to make up revenue lost under capitation If there's any doubt whether capitation has left a bit of a sour taste in the mouths of physicians and hospitals, a survey issued earlier this year would seem to confirm it. mark for My Articles similar articles
Managed Care
June 2004
Providers Retain Upper Hand Over Health Plans Hospitals in recent years have been successful in getting higher rates, decreasing their exposure to risk and obtaining other advantageous contract provisions from health plans, according to a new study. mark for My Articles similar articles
Managed Care
January 2005
Alice G. Gosfield
P4P: Transitional at Best Pay-for-performance (P4P) programs promise a fair shake for provider and insurance plan, but a former chairman of the National Committee for Quality Assurance sees many design flaws to overcome. mark for My Articles similar articles
Managed Care
June 2005
Martin Sipkoff
The Re-Emergence of the Primary Care Physician A new model of care developed by the American Academy of Family Physicians places primary care physicians back at the center of care delivery. mark for My Articles similar articles
Inc.
December 2005
Amy Feldman
Surviving the Squeeze Longer payment periods don't have to be cash-flow killers. These five steps can help you get payments moving smoothly again. mark for My Articles similar articles
Managed Care
December 2000
Capitation rates see large boost While many physicians argue that HMOs are stingy about passing along revenue from premium increases, a new study suggests otherwise... mark for My Articles similar articles
Managed Care
July 2002
John A. Marcille
Capitation as Whipping Boy: Court Takes on Touchy Issue If plans are to keep coverage decisions reasonable and fair, they'll need tools that involve physicians and patients in the decision-making process. Capitation is one of those. mark for My Articles similar articles
Managed Care
December 2007
John Carroll
How Doctors Are Paid Now, And Why It Has to Change Everyone knows about the perverse incentive of fee-for-service medicine, but that hasn't had much effect on its use. mark for My Articles similar articles
Managed Care
July 2005
Thomas Morrow
Can CDHPs Resolve Issues Raised by Age of Biologics? While the potential of consumer-directed health plans is promising, this design still leaves many questions about coverage unanswered. mark for My Articles similar articles
Managed Care
May 2006
Michael Levin-Epstein
Looking for a Better Way To Manage Care Can primary care physicians persuade health plans and Medicare to accept their version of the chronic care model? mark for My Articles similar articles
The Motley Fool
October 7, 2005
What's Your Down Payment? If you're wondering what percentage of what you're paying for a house should be your down payment, know that there's no single best amount, and it will likely vary according to your situation. mark for My Articles similar articles
Managed Care
May 2007
MargaretAnn Cross
Following the Leaders Top pay-for-performance programs point to increased focus on hospital incentives, efficiency measures, coordination, and standardization. mark for My Articles similar articles
Managed Care
August 2001
Interest in capitation backs off More than half of provider organizations surveyed by Evergreen Re, a national reinsurance consultant and broker, had at least one capitation contract last year -- but use of capitation fell dramatically from 1999 to 2000.. mark for My Articles similar articles
Managed Care
April 2007
Daniel Y. Patterson
HMO - 21st Century Model The history of HMOs has been one of conflict between plans and physicians. Could global specialty capitation be a better way? mark for My Articles similar articles
Bank Systems & Technology
December 1, 2006
Phil Britt
Banks to Allow E-Bill Pay Customers to Pay With Cards The growing popularity of online bill payment services presents a revenue opportunity for banks. mark for My Articles similar articles
Managed Care
September 2000
Capitation: How well is your back covered? Make no mistake: Capitation--despite the beating its reputation has taken of late---isn't out of fashion. In fact, its prevalence is increasing, with 14 percent more physician groups having some involvement in capitation last year than in 1998... mark for My Articles similar articles
Managed Care
October 2000
How you fare under capitation Warren Surveys talked to about 50 HMOs and community based health plans in 1999 to tally what they were paying physicians in capitation and risk-arrangement contracts... mark for My Articles similar articles
Bank Systems & Technology
July 12, 2010
Matt Gunn
Online Bill Payment Tops Among Internet Households Synergistics study shows preference toward online payments. mark for My Articles similar articles
Managed Care
January 2001
Bob Carlson
Ohio Struggles To Rescue Managed Medicaid Program Health plans and providers in Ohio's beleaguered Medicaid managed care program, OhioCare, welcomed its per-member, per-month payment increases of more than 25 percent over the last two years... mark for My Articles similar articles
Managed Care
April 2002
John A. Marcille
Nobody Wants M+C To Die, So Why Can't We Make It Work? Money alone can't solve all of Medicare+Choice's woes, and structural problems will need to be addressed... mark for My Articles similar articles