A framework for managing risk-based managed care contracts
Nugent, M.
Healthcare Financial Management Journal of the Healthcare Financial Management Association 67(12): 82-87
2013
ISSN/ISBN: 0735-0732 PMID: 24380254 Document Number: 664863
To prepare for managing risk-based contracts with payers and other purchasers, providers should: Identify operational, competitive, and financial risks associated with the relevant patient populations. Improve organizational abilities related to patient care management, which is the key to managing operational risk. Address the competitive risks that can ensue when traditional lines of demarcation between providers and payers are crossed. Adopt strategies and tactics to manage financial risk, beyond buying malpractice and stop-loss insurance.