Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Information management for managed care.

K O'Connor1

  • 1Contultants Medical Group Inc., Oakland, CA 94609, USA.

Medical Group Management Journal
|October 5, 1995
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

The impact of the COVID-19 pandemic on first-episode psychosis presentations in two early intervention in psychosis services.

Irish journal of psychological medicine·2024
Same author

Monthly engagement with EIP keyworkers was associated with a five-fold increase in the odds of engagement with psychosocial interventions.

BMC psychiatry·2024
Same author

The clinical impact of a crisis resolution home treatment team.

Irish journal of psychological medicine·2023
Same author

An investigation into the preparation of powdered infant formula in households in Ireland - CORRIGENDUM.

The Proceedings of the Nutrition Society·2023
Same author

Barriers and facilitators to the implementation of an early intervention in psychosis service in three demonstration sites in Ireland.

BMC health services research·2023
Same author

Evidence supporting the use of a brief cognitive assessment in routine clinical assessment for psychosis.

Schizophrenia (Heidelberg, Germany)·2022
Same journal

Financial ratios and group practice operations.

Medical group management journal·2002
Same journal

Developing a Web site for your practice, Part 2.

Medical group management journal·2002
Same journal

Ten misconceptions physicians have about marketing.

Medical group management journal·2002
Same journal

Defined contribution health plans--coming to a payer near you?

Medical group management journal·2002
Same journal

Achieving open access: the road to improved service & satisfaction.

Medical group management journal·2002
Same journal

Two "senior citizen" headhunters provide counsel to recruiters.

Medical group management journal·2002
See all related articles

Managing healthcare information systems in both capitation and fee-for-service models is crucial. This study identifies essential data for capitation contracts and addresses operational, financial, and billing concerns.

Area of Science:

  • Healthcare Management
  • Health Informatics
  • Medical Economics

Background:

  • Medical groups face challenges managing information across diverse payment models like capitation and fee-for-service.
  • Existing information systems may not effectively support both payment structures simultaneously.
  • A unified information system is critical for operational efficiency and financial viability.

Purpose of the Study:

  • To identify critical data elements for managing capitation contracts.
  • To address operational, financial, and automated billing concerns in dual-payment environments.
  • To propose solutions for integrated information system management in healthcare.

Main Methods:

  • Analysis of essential data for capitation contract management.

Related Experiment Videos

  • Review of operational and financial considerations for medical groups.
  • Examination of challenges in dual healthcare payment environments.

    • Main Results:

    • Key data includes patient demographics (age/sex ratios), visit frequency, diagnosis-specific visit data (ICD-9 codes), and procedure frequency.
    • Payment analysis for commercial and Medicare patients is vital.
    • Addressing operational, financial viability, and automated billing are major concerns.

    Conclusions:

    • Effective management of healthcare information systems requires tailored data collection for capitation.
    • Integrated systems are essential for financial health and operational success in mixed payment models.
    • Further research into adaptable health information systems is warranted.