Capitation

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Author :
Publisher : Irwin Professional Publishing
ISBN 13 :
Total Pages : 184 pages
Book Rating : 4.4/5 (91 download)

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Book Synopsis Capitation by : David I. Samuels

Download or read book Capitation written by David I. Samuels and published by Irwin Professional Publishing. This book was released on 1996 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Physician Empowerment Through Capitation

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Author :
Publisher : Jones & Bartlett Learning
ISBN 13 : 9780834212121
Total Pages : 280 pages
Book Rating : 4.2/5 (121 download)

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Book Synopsis Physician Empowerment Through Capitation by : Clifford R. Frank

Download or read book Physician Empowerment Through Capitation written by Clifford R. Frank and published by Jones & Bartlett Learning. This book was released on 2000 with total page 280 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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

Health Economics in Development

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Author :
Publisher : World Bank Publications
ISBN 13 : 9780821355701
Total Pages : 456 pages
Book Rating : 4.3/5 (557 download)

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Book Synopsis Health Economics in Development by : Philip Musgrove

Download or read book Health Economics in Development written by Philip Musgrove and published by World Bank Publications. This book was released on 2004 with total page 456 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

The Capitation Sourcebook

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Author :
Publisher : Jones & Bartlett Learning
ISBN 13 : 9780965271707
Total Pages : 672 pages
Book Rating : 4.2/5 (717 download)

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Book Synopsis The Capitation Sourcebook by : Peter Boland

Download or read book The Capitation Sourcebook written by Peter Boland and published by Jones & Bartlett Learning. This book was released on 1996 with total page 672 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Capitation

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Author :
Publisher : Aspen Publishers
ISBN 13 : 9780899708676
Total Pages : 0 pages
Book Rating : 4.7/5 (86 download)

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Book Synopsis Capitation by : David William Lee

Download or read book Capitation written by David William Lee and published by Aspen Publishers. This book was released on 1997 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: An invaluable managed care resource published by the American Medical Association. Capitation: The Physician's Guide teaches you the essential features of capitated medical service payment arrangements. With this essential resource, you'll increase your profitability and achieve greater clinical autonomy through learning how to negotiate better contracts and evaluate rates, identify when an expert is needed, and isolate the potential sources of risk.

Capitation in California

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Author :
Publisher : Maurice Penner
ISBN 13 : 9781567930511
Total Pages : 298 pages
Book Rating : 4.9/5 (35 download)

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Book Synopsis Capitation in California by : Maurice J. Penner

Download or read book Capitation in California written by Maurice J. Penner and published by Maurice Penner. This book was released on 1997 with total page 298 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Physicians Guide to Managed Care

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Author :
Publisher : Healthcare Consultants Incorporated
ISBN 13 :
Total Pages : 404 pages
Book Rating : 4.0/5 ( download)

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Book Synopsis Physicians Guide to Managed Care by : James R. Lyle

Download or read book Physicians Guide to Managed Care written by James R. Lyle and published by Healthcare Consultants Incorporated. This book was released on 1996 with total page 404 pages. Available in PDF, EPUB and Kindle. Book excerpt: Discusses various types of managed care organizations including physician organizations (PO), physician-hospital organizations (PHO), preferred provider organizations (PPO), management services organizations (MSO), and health maintenance organizations (HMO).

Medicare Laboratory Payment Policy

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Author :
Publisher : National Academies Press
ISBN 13 : 0309183618
Total Pages : 261 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Medicare Laboratory Payment Policy by : Institute of Medicine

Download or read book Medicare Laboratory Payment Policy written by Institute of Medicine and published by National Academies Press. This book was released on 2000-12-04 with total page 261 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical laboratory tests play an integral role in helping physicians diagnose and treat patients. New developments in laboratory technology offer the prospect of improvements in diagnosis and care, but will place an increased burden on the payment system. Medicare, the federal program providing coverage of health-care services for the elderly and disabled, is the largest payer of clinical laboratory services. Originally designed in the early 1980s, Medicare's payment policy methodology for outpatient laboratory services has not evolved to take into account technology, market, and regulatory changes, and is now outdated. This report examines the current Medicare payment methodology for outpatient clinical laboratory services in the context of environmental and technological trends, evaluates payment policy alternatives, and makes recommendations to improve the system.

Building and Managing Effective Physician Organizations Under Capitation

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Author :
Publisher : Jones & Bartlett Learning
ISBN 13 : 9780834208094
Total Pages : 386 pages
Book Rating : 4.2/5 (8 download)

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Book Synopsis Building and Managing Effective Physician Organizations Under Capitation by : Douglas E. Goldstein

Download or read book Building and Managing Effective Physician Organizations Under Capitation written by Douglas E. Goldstein and published by Jones & Bartlett Learning. This book was released on 1996 with total page 386 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Fixing Medical Prices

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Author :
Publisher : Harvard University Press
ISBN 13 : 0674545168
Total Pages : 286 pages
Book Rating : 4.6/5 (745 download)

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Book Synopsis Fixing Medical Prices by : Miriam Laugesen

Download or read book Fixing Medical Prices written by Miriam Laugesen and published by Harvard University Press. This book was released on 2016-11-07 with total page 286 pages. Available in PDF, EPUB and Kindle. Book excerpt: Miriam Laugesen goes to the heart of U.S. medical pricing: to a largely unknown committee of organizations affiliated with the American Medical Association. Medicare’s ready acceptance of this committee’s advisory recommendations sets off a chain reaction across the American health care system, leading to high—and disproportionate—rate setting.

Crossing the Quality Chasm

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Publisher : National Academies Press
ISBN 13 : 0309072808
Total Pages : 360 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Crossing the Quality Chasm by : Institute of Medicine

Download or read book Crossing the Quality Chasm written by Institute of Medicine and published by National Academies Press. This book was released on 2001-08-19 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt: Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

Capitation

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Author :
Publisher : Amer Medical Assn
ISBN 13 : 9780899707303
Total Pages : 61 pages
Book Rating : 4.7/5 (73 download)

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Book Synopsis Capitation by : David William Lee

Download or read book Capitation written by David William Lee and published by Amer Medical Assn. This book was released on 1995 with total page 61 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text provides a comprehensive guide to the essential features of capitated medical service payment arrangements. Written by an AMA expert along with prominent legal, financial, and medical consultants, it aims to help prepare practices for accepting more risk in managed care and improve the performance of those practices already treating patients on a capitated basis. It is intended for health service/trust managers.

Spending Wisely

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Author :
Publisher : World Bank Publications
ISBN 13 : 0821359185
Total Pages : 434 pages
Book Rating : 4.8/5 (213 download)

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Book Synopsis Spending Wisely by : Alexander S. Preker

Download or read book Spending Wisely written by Alexander S. Preker and published by World Bank Publications. This book was released on 2005 with total page 434 pages. Available in PDF, EPUB and Kindle. Book excerpt: This publication examines how public spending on health care can be made more efficient and equitable in developing countries, focusing on strategic purchasing and contracting of services from non-governmental providers. It is divided into six sections under the headings of: the conceptual framework; how to make strategic purchasing pro-poor; purchasing health services; purchasing inputs; supply, demand and markets; legal and regulatory issues.

The Future of Nursing 2020-2030

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Publisher :
ISBN 13 : 9780309685061
Total Pages : pages
Book Rating : 4.6/5 (85 download)

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Book Synopsis The Future of Nursing 2020-2030 by : National Academies of Sciences Engineering and Medicine

Download or read book The Future of Nursing 2020-2030 written by National Academies of Sciences Engineering and Medicine and published by . This book was released on 2021-09-30 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.

Capitation for Physicians

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Author :
Publisher : McGraw-Hill Health Care Education Group
ISBN 13 : 9780786311491
Total Pages : 196 pages
Book Rating : 4.3/5 (114 download)

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Book Synopsis Capitation for Physicians by : John F. McCally

Download or read book Capitation for Physicians written by John F. McCally and published by McGraw-Hill Health Care Education Group. This book was released on 1996 with total page 196 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Changing Health Care Systems and Rheumatic Disease

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Author :
Publisher : National Academies Press
ISBN 13 : 0309056837
Total Pages : 253 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Changing Health Care Systems and Rheumatic Disease by : Institute of Medicine

Download or read book Changing Health Care Systems and Rheumatic Disease written by Institute of Medicine and published by National Academies Press. This book was released on 1997-02-09 with total page 253 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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?

Reforming Physician Payment

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Author :
Publisher : National Academies
ISBN 13 :
Total Pages : 124 pages
Book Rating : 4.1/5 (36 download)

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Book Synopsis Reforming Physician Payment by :

Download or read book Reforming Physician Payment written by and published by National Academies. This book was released on 1984 with total page 124 pages. Available in PDF, EPUB and Kindle. Book excerpt: