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An information system model for negotiating capitation contracts.
Physician Exec. 1998 May-Jun; 24(3):38-41.PE

Abstract

Capitation contracts require health care organizations to negotiate on a much more sophisticated and risky level. Understanding whether a capitation contract will allow a hospital to remain financially viable while providing quality care requires estimating the number of patients to be served, the amount and types of services to be offered, and the cost to provide them. This article presents an information system model designed to assist a large hospital, not only in determining true patient cost, but also in aggregating the cost information in different ways, such as conducting a case-mix analysis, to perform a more informed quote analysis for capitated contracts.

Authors+Show Affiliations

Ransom SB
Wayne State University School of Medicine, MI, USA.

MeSH

Academic Medical CentersCapitation FeeComputer SimulationContract ServicesCost AllocationFinancial Management, HospitalHospital Bed Capacity, 300 to 499Hospital CostsHospital Information SystemsManaged Care ProgramsMedical Records Systems, ComputerizedMichiganNegotiatingSystems Integration

Pub Type(s)

Journal Article

Language

eng

PubMed ID

10180972

Citation

Ransom, S B.. "An Information System Model for Negotiating Capitation Contracts." Physician Executive, vol. 24, no. 3, 1998, pp. 38-41.
Ransom SB. An information system model for negotiating capitation contracts. Physician Exec. 1998;24(3):38-41.
Ransom, S. B. (1998). An information system model for negotiating capitation contracts. Physician Executive, 24(3), 38-41.
Ransom SB. An Information System Model for Negotiating Capitation Contracts. Physician Exec. 1998 May-Jun;24(3):38-41. PubMed PMID: 10180972.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - An information system model for negotiating capitation contracts. A1 - Ransom,S B, PY - 1998/4/7/pubmed PY - 1998/4/7/medline PY - 1998/4/7/entrez SP - 38 EP - 41 JF - Physician executive JO - Physician Exec VL - 24 IS - 3 N2 - Capitation contracts require health care organizations to negotiate on a much more sophisticated and risky level. Understanding whether a capitation contract will allow a hospital to remain financially viable while providing quality care requires estimating the number of patients to be served, the amount and types of services to be offered, and the cost to provide them. This article presents an information system model designed to assist a large hospital, not only in determining true patient cost, but also in aggregating the cost information in different ways, such as conducting a case-mix analysis, to perform a more informed quote analysis for capitated contracts. SN - 0898-2759 UR - https://www.unboundmedicine.com/medline/citation/10180972/An_information_system_model_for_negotiating_capitation_contracts_ DB - PRIME DP - Unbound Medicine ER -