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House calls

Article Abstract:

Far more physicians make house calls than was previously thought, but they cannot charge enough in fees to make the visits financially practical. From 53% to 82% of primary care physicians make house calls, but they charge an average of $50, which is half of the average amount they believe they would need to make the visits viable financially. Physicians are working to change reimbursement schedules to reflect their actual costs and are developing other ways to make the house calls feasible. For example, they may limit the visits to patients who really need them and try to schedule the patients efficiently.

Author: Stevens, Larry
Publisher: American Medical Association
Publication Name: American Medical News
Subject: Health
ISSN: 0001-1843
Year: 1993
Practice, House calls (Medicine)

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Reaching critical mass: specialty capitation can work - if you have enough volume and management expertise to track it

Article Abstract:

Specialty physicians are seeing the number of patients they have to treat under capitated plans rise as managed care organizations become more insistent that they share treatment risks. Specialty physicians can retain successful practices in a capitation-dominated service environment if they treat enough patients to dilute the financial risk posed by expensive cases. Capitation-incurred risks can also be minimized by forming health networks with other primary and specialty physicians and through the implementation of long-term management strategies.

Author: Stevens, Larry
Publisher: American Medical Association
Publication Name: American Medical News
Subject: Health
ISSN: 0001-1843
Year: 1996
HEALTH SERVICES, Direct Health and Medical Insurance Carriers, Health Plan Administration, Health care industry, Health insurance industry, Capitated payment systems (Medical care)

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Subjects list: Management, Physicians, Medical professions
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