Thriving in Capitation: A Practical Guide for the Medical Leader

Editor: Howard L. Kirz, MD, MBA, FACPE

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Thriving in Capitation: A Practical Guide for the Medical Leader

*Also available in value package
This essential guide to capitation and its impact on health care delivery provides the fundamentals of capitation, risk, and insurance, plus

• Basic models of effective capitation
• How to manage the capitation business enterprise, and
• Guidance on managing health care services in a capitated environment.

250 Pages © 1998

Table of Contents

Section One
Fundamentals of Capitation, Risk, and Insurance

Chapter 1
A Short History of Managed Care and Capitation in the United States

Chapter 2
Actuaries and the Actuarial Cost Method

Chapter 3
Principles of Risk and Insurance for the Medical Leader

Section Two
Models of Effective Capitation

Chapter 4
Primary Care Capitation

Chapter 5
Hospital Capitation

Chapter 6
Global and Professional Services Capitation

Chapter 7
Carve-Outs

Chapter 8
Emerging Models of Capitation

Section Three
Managing the Capitation Business Enterprise

Chapter 9
Pearls of Capitation Contracting

Chapter 10
Business Systems in the Capitated Medical Enterprise

Chapter 11
Information Systems for Capitation

Section Four
Managing Health Care Services under Capitation

Chapter 12
Physician Compensation in the Capitated Group Practice

Chapter 13
Physician Compensation in the Capitated IPA or PHO

Chapter 14
Managing the Cost and Quality of Hospital Services under Capitation

Chapter 15
Managing the Cost and Quality of Primary Services under Capitation

Chapter 16
Managing Specialty and Referral Services under Capitation

Chapter 17
The Extended Continuum of Care for a Medicare Contract

Chapter 18
Developing and Implementing Clinical Practice Guidelines

Section Five
Special Topics in Capitation

Chapter 19
Legal Issues in Capitation

Chapter 20
Educating Physicians about Capitation and Managed Care