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2006
Capitation Rates and Data
Each issue of this monthly newsletter is jam-packed with PMPM rates, benchmark capitation and comparative information-from determining appropriate physician panel sizes and stop-loss attachment points to evaluating your PMPM rates and withholds.
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December 1, 2007 - Issue 12 -
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Capitated groups improve revenues, but expenses grow
Healthcare performance uneven among states, studies show
Beware cost variability in Medicare Advantage products
November 1, 2007 - Issue 11 -
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Oklahoma Medicaid program offers a decade's worth of insights
NCQA adds value to its quality agenda
October 1, 2007 - Issue 10 -
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Model your agreements to improve managed Medicaid health plan payments
Near-elderly may benefit from capitated HMO enrollment
September 1, 2007 - Issue 9 -
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PHO, hospital track key indicators to attract P4P dollars in cap contracts
Use dermatology benchmarks to improve cap contracts
August 1, 2007 - Issue 8 -
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Study: Medicaid P4P needs good coordination between plans and providers
High blood pressure increases costs under capitation
Drug use still growing, though price increases moderate for nonspecialty drugs
July 1, 2007 - Issue 7 -
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Ohio moves to full-risk managed Medicaid
States adopt incentives for Medicaid programs
Capitated specialty group rethinks IT conversion
June 1, 2007 - Issue 6 -
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Capitation still dominates California landscape
PMPM costs now even with other states
May 1, 2007 - Issue 5 -
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2008 Medicare Advantage cap rates will rise 3.5%
Prescription drugs change healthcare spending patterns
April 1, 2007 - Issue 4 -
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Health plan uses risk data to explain medical trends, manage employee health
Guide to preventive services offers insight for providers
March 1, 2007 - Issue 3 -
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Use RVUs to analyze your capitated revenue, improve collections
Electronic claims tool improves administration of capitated Medicaid HMOs
Medicare HMO penetration shifts stroke deaths from hospitals
February 1, 2007 - Issue 2 -
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Quality incentives more common under capitation, productivity still dominates
HMO cost trends lower than PPOs; uptake stalls in consumer-driven health plans
Chart book offers insight into plans' administrative costs
Payer uses risk-adjusted hospital data for utilization and cost comparisons
Missouri report reveals data on enrollment and PMPM cost trends for state's HMOs
Hospital ED use still varies widely; system factors suspected
January 1, 2007 - Issue 1 -
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