Physician Empowerment through Capitation

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