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.

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.

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.

This practical volume offers expert guidance on understanding, assessing, and evaluating managed care arrangements. It creates a solid foundation for making smart decisions about the business side of medicine, and offers practical, useful information about all aspects of managed care including capitation, ethics, marketing, managed care contracts, and more. One of ten publications in the AMA's popular Practice Success series.

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).

The social inequalities of health have persisted, or even increased, in Europe in the last few years. This text presents the experiences of professionals from various institutional backgrounds in eight European countries, as well as their recommendations to improve the access of excluded people.

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