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October 2, 1996, Vol 276, No. 13 >
ARTICLE | October 2, 1996

Capitation or Decapitation: Title and subTitle BreakKeeping Your Head in Changing Times FREE

Thomas S. Bodenheimer, MD, MPH; Kevin Grumbach, MD
[+] Author Affiliations

Reprints: Thomas Bodenheimer, MD, MPH, 1580 Valencia St, Suite 201, San Francisco, CA 94110.

Health Care Policy: A Clinical Approach section editor: Drummond Rennie, MD, Deputy Editor (West), JAMA.


JAMA. 1996;276(13):1025-1031. doi:10.1001/jama.1996.03540130023011
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References

Violet Fairbanks is disgusted. The meeting, a negotiating session for a physician-hospital managed care agreement, has degenerated into mutual name-calling. Dr George Capwell accuses the hospital of picking his pocket and sending him into financial ruin. Jack Powers, hospital administrator, fingers the physicians as the cause of the hospital's fiscal problems. The meeting ends in chaos. The following morning, the physician leadership of the CapCap Independent Practice Association (IPA) meets. Hitherto, Dr Fairbanks has steered clear of managed care politics. Now, curiosity and mistrust of the hospital and of some physician leaders have brought her to meetings as a spectator. As the CapCap IPA leaders plan their negotiating tactics, Dr Fairbanks timorously raises her hand. "Does it have to be like this? Can't we give in a bit, ask them to give in a bit, get this behind us, and go back to practicing medicine?" She leaves the room at

REFERENCES

1 +
Bodenheimer T, Grumbach K. Understanding Health Policy: A Clinical Approach . Stamford, Conn: Appleton & Lange; 1995;.
2 +
The Interstudy Competitive Edge, Part III: Regional Market Analysis. St Paul, Minn: Interstudy Publications; 1995.
3 +
Gold M, Nelson L, Lake T, et al.  Behind the curve: a critical assessment of how little is known about arrangements between managed care plans and physicians . Med Care Res Rev . 1995;;52:307-341.
4 +
Bodenheimer T, Grumbach K.  Reimbursing physicians and hospitals . JAMA . 1994;;272:971-977.
5 +
Vogel DE. Family Physicians and Managed Care . Kansas City, Mo: American Academy of Family Physicians; 1992;.
6 +
The Interstudy Competitive Edge, Part II: Industry Report. St Paul, Minn: Interstudy Publications; 1995.
7 +
Wagner ER. Evaluating Physician Capitation Payments . Washington, DC: American Society of Internal Medicine; 1987;.
8 +
Woolhandler S, Himmelstein DU.  Extreme risk—the new corporate proposition for physicians . N Engl J Med . 1995;;333:1706-1707.
9 +
Kongstvedt PR. The Managed Care Handbook . Rockville, Md: Aspen Publishers; 1989;.
10 +
Newhouse JP.  Patients at risk: health reform and risk adjustment . Health Aff (Millwood) . (Spring) 1994;;13:132-146.
11 +
Capitation Strategy. Washington, DC: Advisory Board Co; 1994.
12 +
US Department of Health and Human Services. Health United States 1994 . Washington, DC: US Dept of Health and Human Services; 1995;.
13 +
Robinson JC, Casalino LP.  The growth of medical groups paid through capitation in California . N Engl J Med . 1995;;333:1684-1687.
14 +
Annual Report to Congress. Washington, DC: Physician Payment Review Commission; 1995.
15 +
Johnsson J.  California doctors poised to take hospital revenue reins . Am Med News . (December 6) , 1993;:1.
16 +
Friedman E.  Capitation, integration, and managed care: lessons from early experiments . JAMA . 1996;;275:957-962.
17 +
Council on Ethical and Judicial Affairs, American Medical Association.  Ethical issues in managed care . JAMA . 1995;;273:330-335.
18 +
Clancy CM, Brody H.  Managed care: Jekyll or Hyde? JAMA . 1995;;273:338-339.
19 +
Light D, May A. Britain's Health System: From Welfare State to Managed Markets . New York, NY: Faulkner & Gray; 1993;.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

1 +
Bodenheimer T, Grumbach K. Understanding Health Policy: A Clinical Approach . Stamford, Conn: Appleton & Lange; 1995;.
2 +
The Interstudy Competitive Edge, Part III: Regional Market Analysis. St Paul, Minn: Interstudy Publications; 1995.
3 +
Gold M, Nelson L, Lake T, et al.  Behind the curve: a critical assessment of how little is known about arrangements between managed care plans and physicians . Med Care Res Rev . 1995;;52:307-341.
4 +
Bodenheimer T, Grumbach K.  Reimbursing physicians and hospitals . JAMA . 1994;;272:971-977.
5 +
Vogel DE. Family Physicians and Managed Care . Kansas City, Mo: American Academy of Family Physicians; 1992;.
6 +
The Interstudy Competitive Edge, Part II: Industry Report. St Paul, Minn: Interstudy Publications; 1995.
7 +
Wagner ER. Evaluating Physician Capitation Payments . Washington, DC: American Society of Internal Medicine; 1987;.
8 +
Woolhandler S, Himmelstein DU.  Extreme risk—the new corporate proposition for physicians . N Engl J Med . 1995;;333:1706-1707.
9 +
Kongstvedt PR. The Managed Care Handbook . Rockville, Md: Aspen Publishers; 1989;.
10 +
Newhouse JP.  Patients at risk: health reform and risk adjustment . Health Aff (Millwood) . (Spring) 1994;;13:132-146.
11 +
Capitation Strategy. Washington, DC: Advisory Board Co; 1994.
12 +
US Department of Health and Human Services. Health United States 1994 . Washington, DC: US Dept of Health and Human Services; 1995;.
13 +
Robinson JC, Casalino LP.  The growth of medical groups paid through capitation in California . N Engl J Med . 1995;;333:1684-1687.
14 +
Annual Report to Congress. Washington, DC: Physician Payment Review Commission; 1995.
15 +
Johnsson J.  California doctors poised to take hospital revenue reins . Am Med News . (December 6) , 1993;:1.
16 +
Friedman E.  Capitation, integration, and managed care: lessons from early experiments . JAMA . 1996;;275:957-962.
17 +
Council on Ethical and Judicial Affairs, American Medical Association.  Ethical issues in managed care . JAMA . 1995;;273:330-335.
18 +
Clancy CM, Brody H.  Managed care: Jekyll or Hyde? JAMA . 1995;;273:338-339.
19 +
Light D, May A. Britain's Health System: From Welfare State to Managed Markets . New York, NY: Faulkner & Gray; 1993;.

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