Abstract
All managed care stakeholders--health plan members, employers, providers, community organizations, and government entitites--share a common interest in reducing healthcare costs while improving the quality of care health plan members receive. Although capitation is a usually thought of primarily as a payment mechanism, it can be a powerful tool providers and health plans can use to accomplish these strategic objectives and others, such as restoring and maintaining the health of plan members or improving a community's health status. For capitation to work effectively as a strategic tool, its use must be tied to a corporate agenda of partnering with stakeholders to achieve broader strategic goals. Health plans and providers must develop a partnership strategy in which each stakeholder has well-defined roles and responsibilities. The capitation structure must reinforce interdependence, shift focus from meeting organizational needs to meeting customer needs, and develop risk-driven care strategies.
TY - JOUR
T1 - Thinking strategically about capitation.
A1 - Boland,P,
PY - 1997/4/7/pubmed
PY - 1997/4/7/medline
PY - 1997/4/7/entrez
SP - 54-8, 60
JF - Healthcare financial management : journal of the Healthcare Financial Management Association
JO - Healthc Financ Manage
VL - 51
IS - 5
N2 - All managed care stakeholders--health plan members, employers, providers, community organizations, and government entitites--share a common interest in reducing healthcare costs while improving the quality of care health plan members receive. Although capitation is a usually thought of primarily as a payment mechanism, it can be a powerful tool providers and health plans can use to accomplish these strategic objectives and others, such as restoring and maintaining the health of plan members or improving a community's health status. For capitation to work effectively as a strategic tool, its use must be tied to a corporate agenda of partnering with stakeholders to achieve broader strategic goals. Health plans and providers must develop a partnership strategy in which each stakeholder has well-defined roles and responsibilities. The capitation structure must reinforce interdependence, shift focus from meeting organizational needs to meeting customer needs, and develop risk-driven care strategies.
SN - 0735-0732
UR - https://www.unboundmedicine.com/medline/citation/10167296/Thinking_strategically_about_capitation_
L2 - https://medlineplus.gov/managedcare.html
DB - PRIME
DP - Unbound Medicine
ER -