PART I: Frontline Stories of the

Pain and Gain of Capitation

 

Ch.1--Market Opportunities Still Abound for Capitation

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Ch.2--Physicians Step Up to the Capitation Challenge

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Ch.3--Power to the Specialists through Contract Capitation

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Ch.4--Keeping Close to Your Patients through Capitated Medicare

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Ch.5--Medicaid Capitation:  Tag, You're It!

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Ch.6--Avoiding "Surprises" in Specialty Capitation

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Ch.7--Managing Pharmaceutical Risk

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Ch.8--Answers to Practical Legal Questions

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Ch.9--How Deep is Your Risk Pool?

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Ch.10--Incurred Claim Reserves and Things That Go Bump in the Night

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Ch.11--Conclusion:  Physician Leadership Can Turn Pain into Gain

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PART II: Capitation Bootcamp

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Day 1:  Kinds of Capitation

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Day 2:  How the Numbers Work--Capitation Calculations

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Day 3:  Bonus Structures under Capitation Contracts

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Day 4:  Physician Compensation Models under Capitation

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Day 5:  New Options for Aligned Payment Incentives

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Day 6:  What it Takes to Make It under Capitation

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Day 7:  Is Your PHO, IPA, MSO Underpowered?

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Day 8:  Is Your Practice Management System Ready for Capitation?

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Day 9:  Capitation Pitfalls to Avoid

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Day 10:  Minimizing Risk When you Capitate

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Day 11:  Coverage Definitions Affect Capitation

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Day 12:  Contract Provisions to Avoid

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Day 13:  Key Assumptions about Your Managed Care Reality

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Day 14:  How Hospital Managed Care Strategies Affect Physicians

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Day 15:  How Physician Managed Care Strategies Affect Hospitals

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Day 16:  Using Rate Filings to Your Advantage

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Day 17:  TennCare Managed Medicaid

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Day 18:  Managed Care Resource Guide

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