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Related Experiment Videos

Risk sharing in an integrated delivery system.

M Benoff1, D M Grauman

  • 1DanGrauman Associates, Inc., Bala Cynwyd, PA, USA.

Healthcare Financial Management : Journal of the Healthcare Financial Management Association
|September 4, 1997
PubMed
Summary
This summary is machine-generated.

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Developing an effective risk-sharing plan for integrated delivery systems (IDS) requires careful consideration of financial control, plan structure, risk strategies, and risk mitigation. Strategic planning is crucial for IDS success.

Area of Science:

  • Healthcare Management
  • Health Economics
  • Health Policy

Background:

  • Integrated Delivery Systems (IDS) face challenges in managing financial risk.
  • Effective risk-sharing plans are essential for IDS financial stability and operational efficiency.

Purpose of the Study:

  • To outline key considerations for developing an effective risk-sharing plan within an IDS.
  • To guide IDS in assessing options for optimal plan design and implementation.

Main Methods:

  • The study identifies four core issues in risk-sharing plan development.
  • Analysis focuses on financial control centralization, plan structuring, strategy selection, and risk avoidance.

Main Results:

  • Key decision points include the degree of financial control centralization.

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  • Plan structure involves determining budget scope, provider payments, and surplus/deficit allocation.
  • Selection of appropriate risk-sharing strategies and robust risk mitigation are critical.

    • Conclusions:

    • IDS must strategically assess financial control, plan structure, risk strategies, and risk mitigation for effective risk-sharing.
    • A comprehensive approach ensures the chosen plan aligns with the IDS's specific needs and minimizes potential financial catastrophe.