Contracting on a Capitated Basis
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Contracting on a Capitated Basis Managing Risk for Your Practice (Apa Practitioner"s Toolbox Series) by Lybrand

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Published by American Psychological Association (APA) .
Written in English

Subjects:

  • Health systems & services,
  • Management & management techniques,
  • Psychiatry,
  • Psychology,
  • Mental Health,
  • Medical Economics,
  • Psychiatry (Specific Aspects),
  • United States,
  • Psychiatry - General,
  • Medical,
  • Mental Illness,
  • Insurance, Mental health,
  • Psychotherapy,
  • Managed mental health care,
  • Practice

Book details:

The Physical Object
FormatPaperback
Number of Pages94
ID Numbers
Open LibraryOL8602864M
ISBN 101557983623
ISBN 109781557983626

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This book shows physicians how to negotiate and implement a capitated contract for a positive cash flow. It discusses the dynamics of capitated contracting, what to look for and how to negotiate with payors and how a capitated contract can effect cash flow and reimbursement. Overview of Market Reform, Capitation, and Managed Care Provider Capitation Readiness and the Process of Contracting With Managed Care Organizations Capitation and Alternative Methods of Reimbursement Actuarial Methodologies for Managed Care Capitation Rates Sample Capitation Rates for Typical Plan Designs. Series Title.   Capitated Contract: A healthcare plan that allows payment of a flat fee for each patient it covers. Under a capitation, an HMO or managed care organization pays . they are forming their own risk-bearing vehicles and contracting directly with employers on a capitated basis. CAPITATION Defined formally, capitation is a fixed sum per person paid in advance of the coverage period to a.

Capitation is a method of prospective reimbursement whereby a health plan or independent practice association (IPA) that has accepted risk for medical services pays a provider on a per-member-per-month (PMPM) basis for all members of the plan that are assigned to that provider.. For the health plan or IPA, capitated reimbursement ensures predictability of health care costs, by requiring. contract could provide for extra payment if actual utilization exceeds a target rate used to determine the original capitation amount. The contract might also provide for certain “carve-outs that will be paid on a discounted fee-for-service basis. These might include multiple -trauma cases, physical. contracting on a capitated basis managing risk for your practice american psychological association practice directorate coopers lybrand capitated contract a healthcare plan that allows payment of a flat fee 20 best book contracting on a capitated basis managing capitated contract definition investopedia a capitated contract is a healthcare. WHEREAS, the Contractor represents that the Contractor is able and willing to provide and arrange for health and long–term care services on a capitated basis in accordance with PHL §–f; NOW, THEREFORE, in consideration of the foregoing and of the covenants and agreements hereinafter set forth, the Parties hereto agree as follows: ARTICLE I.

INTRODUCTION: #1 Contracting On A Capitated Basis Publish By Alexander Pushkin, Contracting On A Capitated Basis Managing Risk For Your contracting on a capitated basis managing risk for your practice out of print visit the apa books homepage to browse or search for other books by american psychological association practice directorate. contracting on a capitated basis managing risk for your practice apa practitioners toolbox Posted By Karl MayPublishing TEXT ID eea0c Online PDF Ebook Epub Library contracting on a capitated basis managing risk for your practice american psychological association practice directorate coopers lybrand capitated contract a healthcare plan that allows payment of a flat fee. contracting on a capitated basis managing risk for your practice apa practitioners toolbox Posted By Ian FlemingLibrary TEXT ID eea0c Online PDF Ebook Epub Library get this from a library contracting on a capitated basis managing risk for your practice american psychological association practice directorate coopers lybrand. HMO contract are hospital use, unit cost, age and sex, and content risk (family size). If the plan pays its group on a per member, all-inclusive (capitation) basis, the group becomes the risk taker. On a fee-for-service or per diem method of payment, the plan assumes the risk of overutilization.