Document Detail


Capitated contracting in radiology: negotiating techniques, financial calculations, and utilization management.
MedLine Citation:
PMID:  8628849     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The authors describe how to develop and manage a capitated outpatient radiology contract. Aspects of a capitated fee structure and the need to apportion fees between a hospital and its radiology group are discussed. During negotiations with a managed care organization (MCO), certain information and commitments should be obtained. Utilization data should also be obtained from the MCO, but if they are not available (or are thought to be unreliable), certain norms can be used. Once a utilization projection is arrived at, reimbursement calculations can be made and compared with assumed reimbursements under a known fee schedule, such as that of Medicare. This procedure allows one to estimate whether a capitated proposal is financially feasible. Once a contractual agreement is instituted, the radiology group must then track and manage utilization. An understanding of these principles should enable radiologists to deal effectively with both practice and fiscal concerns presented by managed care.
Authors:
D C Levin; G H McArdle; C D Lockard
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Radiology     Volume:  198     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  1996 Mar 
Date Detail:
Created Date:  1996-06-21     Completed Date:  1996-06-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  651-6     Citation Subset:  AIM; IM    
Affiliation:
Department of Radiology, Jefferson Medical College, Philadelphia, Pennsylvania 19107, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Capitation Fee*
Child
Contract Services / economics*,  organization & administration
Humans
Managed Care Programs / economics*,  organization & administration
Negotiating
Outpatients / classification
Radiography / utilization
Radiology / economics*,  statistics & numerical data
Reimbursement Mechanisms
Risk Management
Comments/Corrections
Comment In:
Radiology. 1996 Aug;200(2):582-3   [PMID:  8685363 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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