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Biomedical subjects

J S Coyne

Publications and source records attributed to J S Coyne.

At least 19 recordsLinked to original sources
PubMed1996

Capitation: selecting the method, determining the rates. Can providers share risk without excessive financial exposure?

Healthcare providers in markets with a high degree of managed care penetration, such as western states, are aggressively pursuing capitated contracts that are comprehensive in scope and that assume a significant amount of risk sharing. Providers in other parts of the country, however, still are determining how much risk they can assume safely. Integral to this assessment is consideration of two factors: the form of the capitated payment and the capitation rate. Providers must understand the two forms of capitated payment--per member per month and percent of premium--and how each is affected by changes in market levels before they can choose the one best suited to the amount of risk they can assume. Findings from a study of capitation rates utilized by 10 large national or multiregional HMOs may serve as a point of reference for providers.

Capitation Fee↗
PubMed1994

Is your organization ready to share financial risk with HMOs?

Of growing importance in healthcare delivery is the issue of how the risk of providing services to healthcare maintenance organizations (HMOs) enrollees should be shared by the provider and the HMO. Understanding and monitoring risk-sharing arrangements and how they are developing is critical. This article reviews the trends in managed care and risk sharing and examines regulation of capitation and risk sharing as it varies form state to state.

Capitation Fee↗
PubMed1991

California HMOs may provide national forecast.

With more than one quarter of the nation's health maintenance organization (HMO)-insured patients, California may provide an example of what other states can expect in terms of the financial viability of HMOs. A recent study of the enrollment patterns, premium trends, and net profit margins of 47 full-service California HMO plans over a four-year period showed that larger HMOs tend to be in better financial health than smaller HMOs. Meanwhile, the state has revised its code of regulations to include stricter requirements for the operation of full-service HMO plans.

Bankruptcy↗
PubMed1987

Corporate cash management in health care: can we do better?

Most healthcare financial managers are becoming increasingly aware of the importance of adequate cash flow over profit. Therefore, building and monitoring a corporate or centralized cash management system to improve cash flow could prove to be the crucial element in an institution's financial success or failure.

Centralized Hospital Services↗
PubMed1985

Assessing the financial characteristics of multi-institutional organizations.

The prospective pricing of health services is precipitating greater attention to financial characteristics and greater development of multi-institutional organizations (MIOs). This study compares the financial characteristics of 1,590 MIO hospitals with 2,819 freestanding hospitals by ownership type: church-operated, other not-for-profit, and investor-owned. Using 1981 data from the American Hospital Association, the hospitals' capital structure and profitability are measured using three financial ratios: total assets-to-equity, return on equity, and operating margin. The results indicate both greater leverage and greater profitability among MIO hospitals, particularly in the investor-owned sector. The implications of these findings are discussed relative to financial performance by hospital ownership type in the future.

Capital Financing↗
PubMed1982

Networking: forming collectives to ensure survival and flexibility.

Networking--the presence in one multihospital system of two or more types of interhospital relationships--offers freestanding not-for-profit hospitals the ability to form collectives that ensure organizational survival and managerial flexibility while safeguarding institutional autonomy. A prototype of an emerging health care network is Health West Foundation, a not-for-profit holding company that provides health care services through a network of affiliated components.

California↗
PubMed1982

Hospital performance in multihospital systems: a comparative study of system and independent hospitals.

Hospital costs and productivity in multihospital systems versus those of independent hospitals are a major source of debate among health care providers and researchers. Previous studies have shown system hospitals perform better than independent hospitals. The evidence, however, has been limited to only a few nonprofit systems. To help fill this research gap, approximately 100 system hospitals from 14 systems and 4 ownership types are compared with approximately 50 independent hospitals using cost and productivity data from one year. The results show that system hospitals realize both significantly higher cost and higher productivity levels, except for county-owned facilities which have lower costs and insignificantly different productivity levels. Factors that help explain these results are discussed and directions for further research are suggested.

Bed Occupancy↗