HCPro.com: Capitation Rates and Data

Each issue of this monthly newsletter is jam-packed with PMPM rates, benchmark capitation and comparative information-from determining appropriate physician panel sizes and stop-loss attachment points to evaluating your PMPM rates and withholds.

To view the entire newsletter issue, click the “View Entire Issue” link below

October 2008 (Volume 13, Issue 10)	view entire issue

Do the math before taking capitation risk for vaccines
Pediatricians have long wrestled with the challenge of deciding whether to accept risk for vaccines in their capitation contracts and, if so, how to structure the cost in their PMPM rates.

Guided Care plan reduces costs for chronically ill seniors
Seniors with chronic illnesses represent an especially challenging subset of patients, especially for capitated Medicare Advantage HMOs.

Other recently-published articles from Capitation Rates and Data:

Do the math before taking capitation risk for vaccines

Guided Care plan reduces costs for chronically ill seniors

Coordinated care benefits children with special needs

Social media provide cost-effective route to patient care

Coordinated care program cuts costs for members with chronic illness

Dartmouth Atlas: Overtreatment still common

PROMETHEUS payment model aims to top capitation

Managed Medicare may help seniors avoid preventable hospitalizations through better coordination of care

Weigh the balance between healthcare quality and costs

Benchmark your cap rates against this profitable IPA

Examine underlying community trends as one factor in the cost of care

Use predictive modeling to improve case management

Evaluate 2009 payment rates for MA plans

Mine your data to target high-risk members

Drug cost data suggest patient copays, compliance linked

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