PART I: Frontline Stories of the
Pain and Gain of Capitation
Ch.1--Market Opportunities Still Abound for Capitation
Ch.2--Physicians Step Up to the Capitation Challenge
Ch.3--Power to the Specialists through Contract Capitation
Ch.4--Keeping Close to Your Patients through Capitated Medicare
Ch.5--Medicaid Capitation: Tag, You're It!
Ch.6--Avoiding "Surprises" in Specialty Capitation
Ch.7--Managing Pharmaceutical Risk
Ch.8--Answers to Practical Legal Questions
Ch.9--How Deep is Your Risk Pool?
Ch.10--Incurred Claim Reserves and Things That Go Bump in the Night
Ch.11--Conclusion: Physician Leadership Can Turn Pain into Gain
PART II: Capitation Bootcamp
Day 1: Kinds of Capitation
Day 2: How the Numbers Work--Capitation Calculations
Day 3: Bonus Structures under Capitation Contracts
Day 4: Physician Compensation Models under Capitation
Day 5: New Options for Aligned Payment Incentives
Day 6: What it Takes to Make It under Capitation
Day 7: Is Your PHO, IPA, MSO Underpowered?
Day 8: Is Your Practice Management System Ready for Capitation?
Day 9: Capitation Pitfalls to Avoid
Day 10: Minimizing Risk When you Capitate
Day 11: Coverage Definitions Affect Capitation
Day 12: Contract Provisions to Avoid
Day 13: Key Assumptions about Your Managed Care Reality
Day 14: How Hospital Managed Care Strategies Affect Physicians
Day 15: How Physician Managed Care Strategies Affect Hospitals
Day 16: Using Rate Filings to Your Advantage
Day 17: TennCare Managed Medicaid
Day 18: Managed Care Resource Guide