Financial analysis of direct contracting between hospitals and employers

Article Abstract:

Direct contracts between health service providers and employers have increasingly been used as an option to control employee benefit costs. Health managers need to carefully evaluate the financial effects of such contracts. Several guidelines on the financial analysis of direct contracts are presented to help health managers determine if a contract will be advantageous to the organization or not. The general principles involved in such analysis, which depend on aggregate revenue and cost data are also discussed.

Contracts, Occupational health services, Hospitalization, Hospital care

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Key factors affecting the future of managed care

Article Abstract:

The issues and factors which have serious implications to the future of managed care and health maintenance organizations (HMO) are presented. Limited access to capital, improvement of the HMO and provider relationship, educational program development and upholding the role of Medicare in the management of managed care plans are some of the issues which HMO's must address to sustain growth and development.

Management, Evaluation, Managed care plans (Medical care)

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