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A capitation-based prospective reimbursement mechanism for linking academic medical centers with health maintenance organizations.
Health Care Strateg Manage ; 1(3): 17-23, 1983 Dec.
Article en En | MEDLINE | ID: mdl-10273447
Recent changes in the medical marketplace have led to increased competition among health care delivery organizations. Despite this, the academic medical center (AMC) and the health maintenance organization (HMO), even with apparently divergent goals, can interact so that both parties benefit. By developing a risk-sharing prospective reimbursement contract, the HMO can better predict tertiary care expenses. Concomitantly, the AMC can broaden its market and increase its access to patients requiring its technologically sophisticated services. This article presents a mechanism for creating a prospective reimbursement contract with mutually beneficial incentives. Implications of the methodology are also discussed.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Afiliación Organizacional / Mecanismo de Reembolso / Sistema de Pago Prospectivo / Sistemas Prepagos de Salud / Centros Médicos Académicos Tipo de estudio: Prognostic_studies / Risk_factors_studies Idioma: En Revista: Health Care Strateg Manage Año: 1983 Tipo del documento: Article Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Afiliación Organizacional / Mecanismo de Reembolso / Sistema de Pago Prospectivo / Sistemas Prepagos de Salud / Centros Médicos Académicos Tipo de estudio: Prognostic_studies / Risk_factors_studies Idioma: En Revista: Health Care Strateg Manage Año: 1983 Tipo del documento: Article Pais de publicación: Estados Unidos