Thoroughly exploring how capitation has evolved domestically and internationally in recent years, this book discusses actuarial assumptions and the difficulties in payers¿ transitions from community-based underwriting to experience-based ratings. It explores what the future holds in the areas of clinical pathways and population-based risk assumption tools and approaches. It covers what happens when the underlying actuarial and risk assumptions are ignored or trivialized. The author also discusses the challenges capitation-based pricing faces from an international perspective, including Latin America and the Caribbean.
- ISBN: 978-1-4398-4030-6
- Editorial: Productivity Press
- Encuadernacion: Cartoné
- Páginas: 289
- Fecha Publicación: 01/11/2011
- Nº Volúmenes: 1
- Idioma: Inglés