Garofalo W A
Healthc Financ Manage. 2001 Feb;55(2):41-5.
An IDS that wishes to assume risk should understand first the factors that have caused IDSs to experience poor financial performance under risk contracts. Then, the IDS should clarify its goals for managed care contracting, assess its operational strengths and weaknesses, evaluate potential managed care payer partners, and understand the amount of risk associated with various contract options. Implementation issues that need to be addressed include aligning the financial incentives of physicians and the IDS, establishing systemwide policies and procedures for monitoring performance, and developing information systems capabilities.
一个希望承担风险的综合医疗服务提供者（IDS）首先应该了解那些导致IDS在风险合同下财务表现不佳的因素。然后，IDS应该明确其管理式医疗合同的目标，评估自身的运营优势和劣势，评估潜在的管理式医疗支付方合作伙伴，并了解与各种合同选项相关的风险程度。需要解决的实施问题包括调整医生和IDS的财务激励措施，建立全系统的绩效监测政策和程序，以及发展信息系统能力。
