A longitudinal perspective on health plan-provider risk contracting. Academic Article uri icon

Overview

abstract

  • During the past decade many health plans adopted risk-contracting arrangements that transferred substantial financial risk and care management responsibility to physician groups and hospital-sponsored integrated delivery systems. Risk transfer arrangements are now believed to be in steep decline, but there is little empirical evidence on this topic, particularly at the local-market level. Data from the Community Tracking Study were used to examine changes in risk contracting from 1996 to 2000. A decline in reliance on risk contracting is evident in nearly all markets. However, retrenchment in risk contracting has followed different patterns ranging from refinements in the scope of risk transfer to reduced use of risk arrangements to total rejection of risk-sharing arrangements. Modified risk-transfer agreements remain viable in several markets, but continued refinement in the nature and scope of risk sharing will be necessary.

publication date

  • January 1, 2002

Research

keywords

  • Health Maintenance Organizations
  • Risk Sharing, Financial

Identity

Scopus Document Identifier

  • 0036632789

Digital Object Identifier (DOI)

  • 10.1377/hlthaff.21.4.144

PubMed ID

  • 12117125

Additional Document Info

volume

  • 21

issue

  • 4