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  1. Estimation of capitation expense for specialty services.

    Article, Communication - En anglais

    Risk Management in CABG : A Continuing Perspective. Symposium. Orlando, Florida (USA), 1996/01/27.

    Sources of financial uncertainty under capitation plans include not knowing the game rules, using the wrong game rules, basing financial decisions on incomplete data, or even being clueless about the factors that will determine financial risk.

    Financial risks under managed care can involve price, utilization, selection, and partner risks.

    Risks can vary by contract type.

    Controlling risk requires adequate information.

    Methods to manage risk include the modeling of risk implications ; reliance on the law of large numbers ; and the use of risk-sharing arrangements, stop-loss insurance, traditional insurance techniques, and various specific contracting techniques.

    Mots-clés Pascal : Assurance maladie, Analyse coût, Financement, Service hospitalier, Economie santé, Risque, Estimation paramètre, Homme, Système santé, Etats Unis, Amérique du Nord, Amérique, Capitation

    Mots-clés Pascal anglais : Health insurance, Cost analysis, Financing, Hospital ward, Health economy, Risk, Parameter estimation, Human, Health system, United States, North America, America

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0016857

    Code Inist : 002B30A01B. Création : 21/05/1997.