Home » Managing Risk: A Leaders Guide to Creating a Successful Managed Care Provider Organization by Milliman & Robertson Inc.
Managing Risk: A Leaders Guide to Creating a Successful Managed Care Provider Organization Milliman & Robertson Inc.

Managing Risk: A Leaders Guide to Creating a Successful Managed Care Provider Organization

Milliman & Robertson Inc.

Published April 29th 1998
ISBN : 9781556482137
Paperback
79 pages
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 About the Book 

Providers who ignore the fundamentals of risk management may be placing their organizations in peril. This book helps leaders of such organizations to develop systems that succeed in controlling managed care risk.Hospitals, physicians, integrated deliver systems (IDSs), and other providers that deliver care face unique challenges of risk that differ from those of most insurers and HMOs. Managing Risk addresses risk issues concerning these diverse provider groups and discusses:Quantifying risks of capitation and other managed care arrangementsUsing a funds flow model to spread riskHow provider information systems (ISs) relate to an organizations ability to manage financial risk.Operational and clinical approaches to managing riskFinancial incentive programs for physiciansPSOs and the future of health care risk