Managed Care

 

All health care is local, but its financing is universal

MANAGED CARE October 1998. © MediMedia USA
Compensation Monitor

All health care is local, but its financing is universal

MANAGED CARE October 1998. ©1998 Stezzi Communications

An analysis of HMO payment systems reveals remarkable uniformity, regardless of market size. Capitation is HMOs' favored method of reimbursement for primary care physicians, while discounted fee for service is the primary order of business for HMOs when contracting with specialists. Whether the market size is 2 million or 200,000, the share of primary care physicians and specialists in each market who are capitated or paid on a fee-for-service basis is virtually the same.

SOURCE: REGIONAL MARKET ANALYSIS 8.1, INTERSTUDY PUBLICATIONS, MINNEAPOLIS, 1998

Meetings

4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Healthcare Chief Medical Officer Forum Alexandria, VA November 13–14, 2014
Home Care Leadership Summit Atlanta, GA November 17–18, 2014
HealthIMPACT Southeast Tampa, FL January 23, 2015