| Reevaluation of capitation contracting in New York and California. | |
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MedLine Citation:
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PMID: 11911321 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We obtained detailed quantitative and interview data from Aetna U.S. Healthcare and six physician organizations to examine changes between 1998 and 2000 in the scope of capitation contracting and delegation of responsibility for claims payment and medical management in New York and California. The physician organizations in New York included Benchmark (Continuum), Montefiore IPA, and Lenox Hill Healthcare Network. In California they included Brown and Toland Medical Group, Monarch Healthcare, and Santa Clara County IPA. In both California, where global and shared risk capitation have been common, and New York, where they have not, we find movement to reduce the scope of prepayment and a rethinking of the delegated contractual relationship by physician organizations and health plans. This represents a departure from the 1990s, when many industry participants and analysts expected capitated and delegated relationships to spread across the nation. |
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Authors:
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James C Robinson; Lawrence P Casalino |
Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Health affairs (Project Hope) Volume: Suppl Web Exclusives ISSN: 0278-2715 ISO Abbreviation: Health Aff (Millwood) Publication Date: 2001 |
Date Detail:
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Created Date: 2002-03-25 Completed Date: 2002-04-08 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8303128 Medline TA: Health Aff (Millwood) Country: United States |
Other Details:
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Languages: eng Pagination: W11-9 Citation Subset: IM |
Affiliation:
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University of California, Berkeley, USA. jamie@socrates.berkeley.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Benchmarking California Capitation Fee / statistics & numerical data, trends* Contract Services / economics, statistics & numerical data, trends Health Maintenance Organizations / economics, statistics & numerical data*, trends, utilization Hospital-Physician Joint Ventures / economics, statistics & numerical data*, trends, utilization Independent Practice Associations / economics, statistics & numerical data*, trends, utilization Insurance, Health, Reimbursement Medicare / organization & administration, statistics & numerical data New York Organizational Case Studies Practice Management, Medical / economics*, statistics & numerical data Preferred Provider Organizations / economics, statistics & numerical data*, trends, utilization |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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