Jennifer Horowitz

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Providers that wish to form a provider-sponsored organization to contract directly with Medicare need to assess their operational capabilities to determine whether such a plan can be successful. Areas that need to be examined include administrative and financial expertise, contract management capabilities, clinical and administrative medical management,(More)
  • J L Horowitz
  • 1997
Because many specialists do not see capitation as a viable payment option, the most common strategy for paying specialists remains discounted fee-for-service. A transitional form of capitation for specialists, however, is growing in popularity--contact capitation. Unlike traditional capitation, which pays a per-member-per-month amount based on utilization(More)
Hospitals seek trauma center designation to enhance prestige, improve market share, increase financial return, enhance their teaching function, and support their mission. Unfortunately, for most hospitals, trauma centers create significant increases in capital and operating costs. The best way to determine the direct financial effect of trauma center(More)
This article provides both a conceptual overview of pricing health care services and two pricing strategy examples. The overview addresses the underlying concepts of pricing, the factors that influence it, and the risk continuum of pricing approaches. The pricing strategy examples highlight some of the issues and considerations involved in pricing services(More)