Accession Number : ADA313834

Title :   Capitation Budgeting and the 13 Gateway to Care Sites (An Aggregate Look).

Descriptive Note : Final rept. Jul 94-Jul 95,

Corporate Author : ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRATI ON

Personal Author(s) : Reed, Bruce R.

PDF Url : ADA313834

Report Date : AUG 1995

Pagination or Media Count : 78

Abstract : This study details the behavioral changes noted in the Army Medical Department's (AMEDD) Gateway To Care (GTC) sites in response to capitation budgeting. Average Length of Stay, Case Mix Index, and the number of Outpatient Visits are examined in this study to determine what influences capitation has on these three variables. Results of the study indicate that Average Length of Stay has decreased, while Case Mix Index and number of Outpatient Visits have increased. This outcome is consistent with the trends resulting from the Prospective Payment System of Medicare, and trends of managed care in general. The Conclusions drawn in this study will serve as a catalyst to support seeking 'at risk' capitation budgeting methodology in the DOD Tri-care contracts being let throughout the Tri-care regions. Additionally, this project will provide feedback to the Medical Command and Medial Treatment Facility (MTF) commanders about what changes to expect when operating in a capitated environment.

Descriptors :   *MILITARY MEDICINE, *PLANNING PROGRAMMING BUDGETING, DEPARTMENT OF DEFENSE, DECISION MAKING, FINANCIAL MANAGEMENT, COST ANALYSIS, ARMY PERSONNEL, ANALYSIS OF VARIANCE, RESOURCE MANAGEMENT, PATIENTS, LIFE SPAN(BIOLOGY), WORKLOAD, HEALTH CARE FACILITIES, ARMY OPERATIONS, MORTALITY RATE, TOTAL QUALITY MANAGEMENT, ARMY BUDGETS, INFLATION(ECONOMICS).

Subject Categories : Medicine and Medical Research
      Administration and Management
      Economics and Cost Analysis

Distribution Statement : APPROVED FOR PUBLIC RELEASE