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Risk in a "Fee for Service" Health Care System

S Orbach, S Seltzer

    Journal of Medical Systems
    |October 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    This study presents a novel financial risk assessment method for Management Information System (MIS) development in fee-for-service healthcare. The approach offers advantages over conventional analysis for healthcare IT financial risk management.

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    Area of Science:

    • Health Informatics
    • Financial Risk Management
    • Information Systems Engineering

    Background:

    • Implementing Management Information Systems (MIS) in fee-for-service healthcare involves significant financial risk.
    • Accurate assessment of financial risk is crucial for successful project bidding and operation.
    • Existing conventional analysis methods may not fully capture the complexities of healthcare MIS financial risks.

    Purpose of the Study:

    • To introduce and describe a new approach for assessing financial risk in bids for healthcare Management Information Systems (MIS).
    • To define the scope and context of financial risk assessment for claims processing in a fee-for-service health care system.
    • To propose a detailed risk-analysis procedure tailored for healthcare IT projects.

    Main Methods:

    Related Experiment Videos

    • Development of a specific risk-analysis procedure for financial risk assessment.
    • Comparative analysis of the proposed approach against conventional methods.
    • Evaluation of the added effort required by the proposed risk assessment approach.

    Main Results:

    • The proposed approach provides a framework for a more comprehensive financial risk assessment.
    • Comparison demonstrates potential improvements over conventional analysis in identifying and quantifying risks.
    • The study quantifies the additional effort associated with the enhanced risk assessment procedure.

    Conclusions:

    • The novel risk assessment approach offers a valuable tool for organizations bidding on healthcare MIS projects.
    • It provides a more robust understanding of financial risks compared to traditional methods.
    • The benefits of the proposed approach outweigh the marginal increase in required effort for effective financial risk management.