| Evaluating and negotiating a profitable capitation contract. | |
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MedLine Citation:
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PMID: 10164876 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Evaluating the financial terms of capitation contracts and negotiating their nonfinancial provisions are becoming increasingly important responsibilities for healthcare financial managers. To evaluate the financial terms of a contract, financial managers must understand both incremental and replacement pricing strategies. They also must understand when strategic positioning objectives make a capitated plan attractive despite limited financial rewards. Before a contract is accepted, financial managers can take steps to increase its potential profitability by negotiating the nonfinancial provisions that can help control contract expenses. These provisions are related to services to be provided, payment terms, withholds and risk pools, access to data, provision of eligibility data, utilization review and quality assurance procedures, filing of grievances, contract renewal terms, and contract termination. |
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Authors:
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K M Kennedy |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Healthcare financial management : journal of the Healthcare Financial Management Association Volume: 51 ISSN: 0735-0732 ISO Abbreviation: Healthc Financ Manage Publication Date: 1997 Feb |
Date Detail:
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Created Date: 1997-03-26 Completed Date: 1997-03-26 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8215859 Medline TA: Healthc Financ Manage Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 44-9 Citation Subset: H |
Affiliation:
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ECG Management Consultants, Seattle, WA, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Capitation Fee
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standards* Contract Services / economics Decision Making, Organizational Evaluation Studies as Topic Fee-for-Service Plans / economics Financial Management, Hospital / methods* Managed Care Programs / economics* Models, Organizational Negotiating* United States |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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