Koeppen L, Mess M A, Trott K J, Yazvac L S
Hospice of Dayton, Inc., OH, USA.
Physician Exec. 1997 Jan;23(1):14-9.
Horror stories abound about providers that have failed to modify their incentive systems and have exhausted their annual capitation budget in the first six months of the plan year. Aligning the business strategy and financial incentives in advance is the best way to ensure that your integrated delivery system's transition to capitation is a success story. Rarely are physicians or hospitals with experience limited to the fee-for-service arena prepared to jump into a managed care or capitated compensation system. The transition can be eased by implementing a "shadow" capitation or similar arrangement that will test physician performance under a risk arrangement in advance. The information can be used to restructure the compensation system to ensure that the behaviors being encouraged will promote successful care and fiscal management.
关于那些未能调整激励机制，在计划年度的前六个月就耗尽年度人头预算的供应商，恐怖故事比比皆是。提前使商业战略和财务激励保持一致，是确保你的综合医疗服务体系向人头付费制成功过渡的最佳方式。经验仅限于按服务收费领域的医生或医院，很少有准备好跳入管理式医疗或人头付费补偿系统的。通过实施“影子”人头付费制或类似安排，可以提前在风险安排下测试医生的表现，从而使过渡更加顺利。这些信息可用于重组薪酬体系，以确保所鼓励的行为将促进成功的医疗服务和财务管理。
