The American Medical Association (AMA) has released a new how-to manual to help physicians evaluate, negotiate, and manage budget-based payment systems that are becoming alternatives to the predominant fee-for-service model for reimbursing physicians. Typical budget-based payment systems include payment bundling, pay-for-performance, withholds and risk pools, capitation and shared savings.
Evaluating and Negotiating Emerging Payment Options comprehensively analyzes budget-based payment systems and provides essential information and practical tools that can help physicians:
– Understand the differences between fee-for-service and the budget-based payment systems;
– Master concepts associated with budget-based systems, including actuarial soundness, risk adjustment and risk mitigation;
– Estimate, monitor and manage the financial risks and rewards of a budget-based payment system.