Keystone Mercy Health Plan, Philadelphia, enhances its capitation contracting strategy by providing financial incentives for capitated primary care physicians to provide high-quality services.
Keystone Mercy Health Plan, Philadelphia, enhances its capitation contracting strategy by providing financial incentives for capitated primary care physicians to provide high-quality services.
Data Insight: Health care consumers are willing to accept tight managed care networks again if health plans and physicians maintain high quality, according to a newly published survey.
Capitated medical groups continue to earn more per physician and appear to be more productive in terms of relative value units than fee-for-service physicians, according to data from the American Medical Group Association's 2004 Medical Group Compensation & Financial Survey.
Geisinger Clinic became the latest large group to drop capitation, but the reason was philosophical, not financial. The clinic's CFO acknowledges the physicians made money on their capitated business.
PacifiCare of Texas was ordered to pay a physician group nearly 7 million million for improperly terminating a capitated contract. The group's attorney believes the arbitrator's decision sends a message to health plans to contract fairly.
Milwaukee's health care prices are higher than the national average because hospitals and physician groups consolidated to a point that they control the market and demanded fee-for-service payments, according to a new study by the U.S. General Accounting Office.
Physicians who have moderate levels of capitation earn more than those with small or large amounts, according to data from the Medical Group Management Association.
The Centers for Medicare and Medicaid Services is offering matching funds to state Medicaid programs for diseases management services. See how capitated providers can benefit from the incentives.
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