• Physician executive · Jul 1995

    The marriage of risk management and the processes of patient care.

    • J Ray.
    • Clearwater Group, Ltd., Los Gatos, CA, USA.
    • Physician Exec. 1995 Jul 1;21(7):9-14.

    AbstractSo, your organization is considering taking on a capitation contract. Or you have already done so. Sooner or later, most physician executives with whom I have worked have asked the question: "How the hell are we going to manage this thing so we don't go broke?" Good question. Here, in brief, is the answer: Accepting capitated contracts without having the resources to manage both insurance-like risk and the process of caring for capitated patients is roughly equivalent to flying through mountains shrouded by clouds: Sooner or later, a mountainside is likely to appear in your windshield, close up and closing rapidly, at a point where it is too late to do anything about it!

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