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Results for “Reimbursement, Incentive”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

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At least 829 records · Page 46Linked to original sources
PubMed1980

Cost containment through risk-sharing by primary care physicians: a history of the development of United Healthcare.

A new type of independent practice association has been organized to encourage primary care physicians in private practice to become coordinators and financial managers for their patients' medical care. Each patient chooses one internist, family or general physician, or pediatrician and must be referred by that physician for all specialized care. The primary care physician authorizes payment from his/her own account for hospital and referral care provided to patients. He or she shares any deficit or surplus remaining at the end of the year. This is a background paper detailing the history of development and specific features contained in this new concept of putting the physician in charge and "at risk" for the costs of medical care to his/her patients. The plan has been operating in northern California, Washington, and Utah and has 40,000 members and 750 participating physicians. This historical background paper is part of a large project--State Employees' Insurance Benefits Utilization Study (SEIBUS) being done by the University of Washington School of Public Health to evaluate use and costs of medical care under this innovative plan.

California↗
PubMed1986

Hospital pricing policies: the simple economics.

Changes in hospital reimbursement structures and the shrinking inpatient service market are forcing hospitals to reexamine their pricing strategies. This article examines historical hospital pricing, the effect of pricing in a competitive market and considerations for hospitals moving toward competitive pricing for services.

Accounting↗
PubMed1987

Cost cost go away, is capitation here to stay?

Many speculate that capitation will become the next method of payment for health care services after DRGs. But will it be the next alternative, and is it necessarily the right choice? The answer is, no one knows. Answering these questions will require research and evaluation.

Ambulatory Care↗
PubMed1999

Health care delivery strategies for criminal offenders.

Men and women under correctional supervision may be the most challenging population of public health concern. Prison inmates, parolees, and probationers experience prevalent infectious disease including HIV and hepatitis C. Many supervised individuals have significant mental or behavioral health problems that require clinical intervention. The U.S. correctional population is also rapidly growing, and now includes more than 5 million men and women. Concerns about quality, accessibility, and cost of correctional care have prompted calls for managed care models in this population. This paper reviews pertinent experiences within Medicaid managed care and suggests four interconnected strategies--outreach, discharge planning, entitlement security, and case management--to improve the quality and efficiency of correctional care.

Continuity of Patient Care↗