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Medicine & Business

Managing capitated high-risk enrollees

The first step is identifying high-risk enrollees with self-administered surveys. The authors discuss population-based screening instruments and probability of repeat hospitalizations surveys. The second step is following the at-risk patient. Interviews and case management programs are appraised.

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Avoiding practice merger traps

How to weigh advantages and disadvantages of practice mergers. Specific traps to watch out for include ownership, governance, compensation, liability, fraud and abuse, reimbursement, taxation, benefits, antitrust and personnel.

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