Capitation - One Alternative to a “Fee for Service”


One can hardly escape conversations about “change” in healthcare circles today. Changing demographics, changing industries, changing regulations; the list continues. However, one change, the change in provider reimbursement, is pervasive. We hear constant sound bites concerning the “movement away from the 'fee for service' model,” but movement toward what? If we are not reimbursing providers for procedures conducted, how are we measuring healthcare delivery and how is it paid for? [More]


Management Services Organizations (MSOs) - Emerging Trends in Hospital/Physician Affiliations


The landscape of healthcare practice structures continues to evolve and create new incarnations of medical service delivery models. An example of this evolution is the adaptation of physician clinical practices beyond the individual practice setting into the integrated and collaborative world of hospital ownership, large provider group absorption and Accountable Care Organizations etc. This consolidation trend towards a more broader based, top-down organization has resulted in an often frustrating loss of physician independence and control over their clinical practice. Management Services Organizations have gained prominence an organizational structure which solves some of these concerns by allowing physicians to maintain an element of independence while remaining competitive with larger corporate or hospital based provider groups. [More]