Capitation


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


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.




Physician Empowerment Through Capitation


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




Essentials of Managed Health Care


Book Description




Capitation Survey 2008


Book Description




The Managed Health Care Handbook


Book Description

This thoroughly revised and updated book provides a strategic and operational resource for use in planning and decision-making. The Handbook enables readers to fine-tune operation strategies by providing updates on critical managed care issues, insights to the complex managed care environment, and methods to gain and maintain cost-efficient, high quality health services. With 30 new chapters, it includes advice from managers in the field on how to succeed in every aspect of managed care including: quality management, claims and benefits administration, and managing patient demand. The Handbook is considered to be the standard resource for the managed care industry.




Encyclopedia of Health Services Research


Book Description

Within two volumes, more than 400 signed entries and their associated bibliographies and recommended readings authoritatively cover issues in both the historical and contemporary context of health services research.




Health Economics in Development


Book Description

This publication contains a collection of papers which span 21 years of the author's thought and experiences regarding the subject on health economics, working at the Pan American Health Organization, the World Health Organization and the World Bank. The papers consider a range of topics including: the connection between public health and economics; the issue of equity in health; effectiveness and efficiency, particularly in relation to communicable diseases and malnutrition; health financing; how the burden of ill health is measured; the roles of the state and the market in health. The empirical material refers to a variety of specific health problems or interventions, including: smoking, polio, malaria, immunisation and various forms of malnutrition.







Parliamentary Papers


Book Description