Market induces a new approach to capitation: prepayment for specialists, fee for service for generalists

Article Abstract:

A new approach to physician payment is developing in the healthcare market. Called 'reverse capitation', it involves paying specialists under a capitation scheme, but paying primary-care physicians as fee-for-service. This reflects market demand for primary care doctors and the healthcare trend toward cost control. However, this new approach by some health plans and physician groups is seen by industry experts as a challenge to conventional cost-control wisdom. They say that capping specialist fees controls a greater slice of healthcare expenditures, since primary-care physicians account for only 12-20% of healthcare costs.

HEALTH SERVICES, Direct Health and Medical Insurance Carriers, Physicians & Surgeons, Offices of Physicians (except Mental Health Specialists), Health Plan Administration, Innovations, Medicine, Finance, Medical care, Cost of, Health care costs, Control, Health insurance industry, Physicians (General practice), General practitioners, Capitated payment systems (Medical care), Medical specialties

---

Locum tenens evolving into local placement service

Article Abstract:

The locum tenens, or substitute physician industry, has grown quickly since it began in 1979. Originally composed of semi-retired physicians who enjoy travelling, some young physicians use locum tenens to investigate practice locations. The industry is composed of physicians who work as independent contractors and companies that place physicians around the country or locally. Because locum tenens physicians have proven themselves to be competent and successful, they are finding increasing acceptance by other physicians.

Employment

---

Locum tenens gains favor with new doctors

Article Abstract:

The acceptability of the Locum tenens is gaining popularity among new doctors, who find it feasible to perform their responsibility with freedom of temporary work and practicing without administrative objections. It provides physicians an opportunity to practice medicine on their own terms since they perceive to have flexible work schedules.

United States, Management dynamics, Practice

Similar abstracts:

• Abstracts: Recent Advances in Basic Obesity Research. Treatment of pediatric and adolescent obesity. A prospective study of holiday weight gain
• Abstracts: Are quotas the answer to the primary care shortage? Internists still considering ways to boost generalism. Primary care shortage? It's all in eye of beholder
• Abstracts: Easier payments for student services; HCFA spells out new conditions. Study suggests lower global payments
• Abstracts: The implications of the 1992 presidential election for health care reform. Health care policy implications of the 1994 congressional elections
• Abstracts: Lightning strikes twice: electricity from two directions may give superior pain relief. Iliotibial band friction syndrome: early detection the key to avoiding knee pain

This website is not affiliated with document authors or copyright owners. This page is provided for informational purposes only. Unintentional errors are possible.