Managed care and capitation in California: how do physicians at financial risk control their own utilization?

EA Kerr, BS Mittman, RD Hays, AL Siu… - Annals of Internal …, 1995 - acpjournals.org
Objective: To describe the structure and range of utilization management methods initiated
by physicians in response to capitation. Design: Cross-sectional questionnaire. Setting: A …

The future of capitation the physician role in managing change in practice

JD Goodson, AS Bierman, O Fein, K Rask… - Journal of general …, 2001 - Springer
Capitation-based reimbursement significantly influences the practice of medicine. As
physicians, we need to assure that payment models do not jeopardize the care we provide …

[PDF][PDF] Capitation payment, length of visit, and preventive services: evidence from a national sample of outpatient physicians

R Balkrishnan, MA Hall, D Mehrabi… - Am J Manag …, 2002 - ajmc.s3.amazonaws.com
Objective: To test the hypothesis that capitation payment to physicians reduces the length of
physician-patient encounters but increases use of preventive and health counseling …

What do managed care plans do to affect care? Results from a survey of physicians

DK Remler, K Donelan, RJ Blendon, GD Lundberg… - Inquiry, 1997 - JSTOR
Little is known about physicians' exposure to managed care techniques that affect clinical
practice. In 1995, we conducted a survey of 2,003 US physicians asking them about their …

Specialists' and primary care physicians' participation in Medicaid managed care

L Backus, D Osmond, K Grumbach, K Vranizan… - Journal of General …, 2001 - Springer
OBJECTIVE: To compare specialist and primary care physician participation in California's
Medicaid fee-for-service and managed care programs. DESIGN: Cross-sectional survey …

Payment by capitation and the quality of care

DM Berwick - New England Journal of Medicine, 1996 - Mass Medical Soc
Capitation and decapitation have nothing to do with each other, but you could hardly tell the
difference when observing the intense debate over the value and risks of capitation in health …

Primary care physicians' satisfaction with quality of care in California capitated medical groups

EA Kerr, RD Hays, BS Mittman, AL Siu, B Leake… - JAMA, 1997 - jamanetwork.com
Context.—Managed care and capitation have placed new responsibilities on primary care
physicians, including formally acting as" gatekeepers" for specialty services and tests …

Do physician-payment mechanisms affect hospital utilization? A study of Health Service Organizations in Ontario.

B Hutchison, S Birch, J Hurley, J Lomas… - CMAJ: Canadian …, 1996 - ncbi.nlm.nih.gov
OBJECTIVES: To determine whether payment of primary care physicians based on
capitation, with an additional incentive payment for low hospital-utilization rates, resulted in …

Physician responses to fee-for-service and capitation payment

SC Stearns, BL Wolfe, DA Kindig - Inquiry, 1992 - JSTOR
The ability to achieve reductions in health care costs is determined in part by physician
payment mechanisms. This study observes the response to a change in the reimbursement …

Ambulatory testing for capitation and fee-for-service patients in the same practice setting: relationship to outcomes

JP Murray, S Greenfield, SH Kaplan, EM Yano - Medical Care, 1992 - JSTOR
Previous studies of the impact of varying reimbursement incentives on physician behavior
have not explored the simultaneous implications for patients' health outcomes. Using a …