Accession Number : ADA305898

Title :   Capitation Base Resource Allocation: Does it Provide the Necessary Financial Incentives for the MTF to Achieve Technical and Allocative Efficiency?

Descriptive Note : Master's thesis,

Corporate Author : NAVAL POSTGRADUATE SCHOOL MONTEREY CA

Personal Author(s) : Chavez, Anthony S.

PDF Url : ADA305898

Report Date : DEC 1995

Pagination or Media Count : 94

Abstract : This thesis analyzed the effect capitation based resourcing has on the incentives for the commander of military treatment facilities (MTFs). Specifically, what incentives do MTF Commanders have to increase effectiveness and efficiency in a capitated system? In answering this question, factors such as the ability of the Commander to contract out services and the proper mix of services to maximize the value to patients while maintaining the quality of care within the capitated constraint were discussed. The mechanism for determining the capitated rate and how Bid Price Adjustment and transfer payments affect incentives were reviewed. These characteristics were analyzed to determine whether capitation in BUMED provides the necessary market incentives to achieve technical and allocative efficiency. After comparing the incentives in BUMED to the incentives in civilian sector capitation, it is unclear if BUMED will achieve similar results.

Descriptors :   *FINANCIAL MANAGEMENT, *QUALITY ASSURANCE, *HEALTH CARE FACILITIES, *CONTRACT PROPOSALS, *INCENTIVE CONTRACTS, MILITARY FACILITIES, MARKET RESEARCH, EFFICIENCY, THESES, MILITARY MEDICINE, ALLOCATIONS, RESOURCE MANAGEMENT, CIVILIAN PERSONNEL, PATIENTS, MEDICAL SERVICES, FACTOR ANALYSIS.

Subject Categories : Economics and Cost Analysis
      Personnel Management and Labor Relations
      Medical Facilities, Equipment and Supplies

Distribution Statement : APPROVED FOR PUBLIC RELEASE