Research Catalog

Title

Capitation in California : a study of physician organizations managing risk / Maurice J. Penner.

Author

Penner, Maurice J.

Publication

Chicago, IL : Health Administration Press, c1997.

Items in the Library & Off-site

Holdings

Details

Description

xii, 281 p.; 23 cm.

Summary

This book discusses challenges of forecasting a population's healthcare needs, building a provider panel, establishing financial incentives for providers, establishing information systems for managed care, negotiating managed care contracts, and managing utilization and quality.

Subject

• California
• Capitation Fee > organization & administration
• Capitation fees (Medical care) > California
• Financial Management
• Health Facility Administrators
• Managed Care Programs > organization & administration
• Managed care plans (Medical care) > California > Administration
• Physician management companies > California > Administration
• Professional Competence

Bibliography (note)

• Includes bibliographical references and index.

Processing Action (note)

• committed to retain
• committed to retain

Contents

The emerging dominance of managed care -- Managed care in California -- How HMOs assess readiness for capitation -- Negotiating capitation contracts -- Network construction -- Establishing administrative systems -- Network management -- The manged care medical director -- Medical management as a loosely coupled system -- The future of capitation contracting -- Administrator questionnaire -- Medical director questionnaire -- Managed care administration training programs -- HEDIS 3.0 reporting and testing set measures -- IPA and medical group terms.

ISBN

1567930514 (alk. paper)

LCCN

^^^96039279^

Owning Institutions

Harvard Library