Capitation or decapitation: keeping your head in changing times

Article Abstract:

A description of capitation and its effect on physicians and hospitals is described. Most HMOs pay physicians via capitation, which means the HMO pays a set fee per patient to physician co-operatives called independent practice associations (IPAs) to provide care to the HMO's enrollees. The hospitals at which the physicians have privileges also receive a share of the capitation payment and both physician and hospital will receive bonus payments if they limit expensive tests and procedures. However, this assumes that physicians will only respond to an economic stimulus to change their habits.

Author: Grumbach, Kevin, Bodenheimer, Thomas S.
Analysis, Economic aspects, Medical care, Capitated payment systems (Medical care)

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Choice of a personal physician and patient satisfaction in a health maintenance organization

Article Abstract:

People who are allowed to choose their physician may be more satisfied with their health care than those who can not. Researchers surveyed 10,205 members of an HMO, about half of whom had chosen their physician and half had been assigned to a physician. Those who had chosen their physician were more likely to be very satisfied with their care than those who had not. Even after adjusting for other factors, those who had chosen their physician were twice as likely to be satisfied as those who had not.

Author: Grumbach, Kevin, Selby, Joe V., Quesenberry, Charles P., Jr., Schmittdiel, Julie
Physicians, Medical professions, Surveys, Appointments, resignations and dismissals, Patient satisfaction, Health maintenance organizations

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Effectiveness of University of California postbaccalaureate premedical programs in increasing medical school matriculation for minority and disadvantaged students

Article Abstract:

University of California (UC) postbaccalaureate programs are investigated to determine whether they are effective in increasing medical school matriculation rates for program participants. It is ascertained that participation in postbaccalaureate premedical programs for disadvantaged and underrepresented groups is an effective intervention to increase the number of medical school matriculants.

Author: Grumbach, Kevin, Chen, Eric
Legal issues & crime, California, Administration of Education Programs, Educational Quality Assessment, Company legal issue, Investigations, University of California, Graduate medical education, Educational evaluation, Educational assessment, Postgraduate medical education

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Subjects list: Evaluation
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