Tuesday, August 31, 2004

More on Fee-for-Service

The following comes in from Mitch Rabkin in response to my posting on the flaws inherent in fee-for-service. Mitch, as most of you know, was long-time CEO at Beth Israel in Boston and mastermind of the important Beth Israel/Deaconess merger a number of years ago.

Re fee-for-service, Jack Cook and I published an article in the November 2002 issue of AAMC's journal, Academic Medicine, proposing a methodology of capitation that has incentives directed toward prudent performance on the part of all players. It is fairly dense a read, yet one might expect that health policy wonks could slog through it -- thus far, it has met with a great yawn. Interesting!

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