Capitation In California
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Capitation In California
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Author : Maurice J. Penner
language : en
Publisher: Maurice Penner
Release Date : 1997
Capitation In California written by Maurice J. Penner and has been published by Maurice Penner this book supported file pdf, txt, epub, kindle and other format this book has been release on 1997 with Capitation fees (Medical care) categories.
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.
Capitation In California
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Author : Penner
language : de
Publisher:
Release Date : 1997
Capitation In California written by Penner and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1997 with categories.
The Evolution Of Medical Groups And Capitation In California
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Author : Lawrence Casalino
language : en
Publisher:
Release Date : 1997
The Evolution Of Medical Groups And Capitation In California written by Lawrence Casalino and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1997 with Capitation fees (Medical care) categories.
California S Prepaid Health Plan Program
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Author : Janice Ney
language : en
Publisher:
Release Date : 1983
California S Prepaid Health Plan Program written by Janice Ney and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1983 with Health maintenance organizations categories.
Managed Care And Capitation In California
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Author : Eve A. Kerr
language : en
Publisher:
Release Date : 1996
Managed Care And Capitation In California written by Eve A. Kerr and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1996 with Capitation fees (Medical care) categories.
All physician groups reported using gatekeeping and preauthorization for certain referrals or tests. Most also used profiling of utilization patterns (79%), guidelines (70%), and managed care education (69%). Most physician groups asked gatekeepers to submit preauthorization requests for specialty referrals and restricted patient self-referral. For example, 60% of groups required preauthorization for an internal medicine subspecialty referral, and 7% allowed patient self-referral. Most groups also asked gatekeepers to obtain preauthoirzation for many tests (for example, 95% for magnetic resonance imaging and 53% for pulmonary function tests). Preauthorization requests were denied infrequently (less than 10% of the time) by more than 75% of groups. Of the 54 groups reporting utilization profiles to their physicians, 61% never adjusted for case-mix among patients and more than 60% suggested practice changes to their physicians based on utilization. Fewer than 35% of the groups used written guidelines for expensive tests that required preauthorization (such as angiography).
Effects Of Capitated Reimbursement On Community Health Centers
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Author : John Joseph Troidl
language : en
Publisher:
Release Date : 2001
Effects Of Capitated Reimbursement On Community Health Centers written by John Joseph Troidl and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2001 with categories.
Annual Report To The Legislature Prepaid Health Plans Pilot Projects
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Author : California. Department of Health Services
language : en
Publisher:
Release Date : 1987
Annual Report To The Legislature Prepaid Health Plans Pilot Projects written by California. Department of Health Services and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1987 with Community health services for older people categories.
Capitation Rates In The Medi Cal Managed Care Program
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Author : Sandra Hunt
language : en
Publisher: California Healthcare Foundation
Release Date : 1999-05-01
Capitation Rates In The Medi Cal Managed Care Program written by Sandra Hunt and has been published by California Healthcare Foundation this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999-05-01 with Managed care plans (Medical care) categories.
Report To The Legislature On The Operations Of California Medical Assistance Commission
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Author : California Medical Assistance Commission
language : en
Publisher:
Release Date : 1984-05
Report To The Legislature On The Operations Of California Medical Assistance Commission written by California Medical Assistance Commission and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1984-05 with Hospitals categories.
Capitation
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Author : David I. Samuels
language : en
Publisher: Irwin Professional Publishing
Release Date : 1996
Capitation written by David I. Samuels and has been published by Irwin Professional Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 1996 with Business & Economics categories.
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.