{"id":"https://openalex.org/W2349290","doi":null,"title":"Capitated contracting of integrated health provider organizations.","display_name":"Capitated contracting of integrated health provider organizations.","publication_year":1999,"publication_date":"1999-01-01","ids":{"openalex":"https://openalex.org/W2349290","mag":"2349290","pmid":"https://pubmed.ncbi.nlm.nih.gov/10711318"},"language":"en","primary_location":{"id":"pmid:10711318","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/10711318","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Inquiry : a journal of medical care organization, provision and financing","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5026749788","display_name":"Gloria J. Bazzoli","orcid":"https://orcid.org/0000-0001-7672-1742","observed_orcids":["https://orcid.org/0000-0001-7672-1742"]},"institutions":[{"id":"https://openalex.org/I111979921","display_name":"Northwestern University","ror":"https://ror.org/000e0be47","country_code":"US","type":"education","lineage":["https://openalex.org/I111979921"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"G J Bazzoli","raw_affiliation_strings":["Institute for Health Services Research and Policy Studies, Northwestern University, Evanston, IL 60208, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Health Services Research and Policy Studies, Northwestern University, Evanston, IL 60208, USA","institution_ids":["https://openalex.org/I111979921"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5067542997","display_name":"Linda Dynan","orcid":"https://orcid.org/0000-0002-1218-2871","observed_orcids":["https://orcid.org/0000-0002-1218-2871"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"L Dynan","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5110184108","display_name":"Lawton R. Burns","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"L R Burns","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":6.7321,"has_fulltext":false,"cited_by_count":18,"citation_normalized_percentile":{"value":0.96155011,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":93},"biblio":{"volume":"36","issue":"4","first_page":"426","last_page":"44"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13896","display_name":"Health Services Management and Policy","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/physician-hospital-organizations","display_name":"physician-hospital organizations","score":0.9890000224113464},{"id":"https://openalex.org/keywords/health-maintenance-organizations","display_name":"health maintenance organizations","score":0.8880000114440918},{"id":"https://openalex.org/keywords/physician-group-practices","display_name":"physician practice groups","score":0.8299999833106995},{"id":"https://openalex.org/keywords/nonprofit-status","display_name":"nonprofit status","score":0.9369999766349792},{"id":"https://openalex.org/keywords/health-system-affiliation","display_name":"health system affiliation","score":0.7639999985694885},{"id":"https://openalex.org/keywords/self-insured-employers","display_name":"self-insured employers","score":0.8069999814033508}],"concepts":[{"id":"https://openalex.org/C2776196091","wikidata":"https://www.wikidata.org/wiki/Q5035821","display_name":"Capitation","level":3,"score":0.9657407999038696},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.6941806077957153},{"id":"https://openalex.org/C2909076957","wikidata":"https://www.wikidata.org/wiki/Q7239847","display_name":"Preferred provider organization","level":4,"score":0.597460150718689},{"id":"https://openalex.org/C2992556508","wikidata":"https://www.wikidata.org/wiki/Q12147","display_name":"Health maintenance","level":3,"score":0.5961675047874451},{"id":"https://openalex.org/C2780265253","wikidata":"https://www.wikidata.org/wiki/Q1416012","display_name":"Managed care","level":3,"score":0.5440582036972046},{"id":"https://openalex.org/C37226244","wikidata":"https://www.wikidata.org/wiki/Q5035819","display_name":"Capitation fee","level":4,"score":0.5200530886650085},{"id":"https://openalex.org/C2992755240","wikidata":"https://www.wikidata.org/wiki/Q1519812","display_name":"Health plan","level":3,"score":0.41516396403312683},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.3867379128932953},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.3374258875846863},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.21900340914726257},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.15338104963302612},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.11121195554733276},{"id":"https://openalex.org/C145097563","wikidata":"https://www.wikidata.org/wiki/Q1148747","display_name":"Payment","level":2,"score":0.0}],"mesh":[{"descriptor_ui":"D000573","descriptor_name":"American Hospital Association","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002204","descriptor_name":"Capitation Fee","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D003284","descriptor_name":"Contract Services","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D003659","descriptor_name":"Decision Making, Organizational","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003953","descriptor_name":"Diagnosis-Related Groups","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D006123","descriptor_name":"Group Practice","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D006279","descriptor_name":"Health Maintenance Organizations","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008389","descriptor_name":"Marketing of Health Services","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009935","descriptor_name":"Organizational Affiliation","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015999","descriptor_name":"Multivariate Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017146","descriptor_name":"Models, Organizational","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D019033","descriptor_name":"Delivery of Health Care, Integrated","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D019538","descriptor_name":"Health Care Surveys","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D020414","descriptor_name":"Risk Sharing, Financial","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false}],"locations_count":2,"locations":[{"id":"pmid:10711318","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/10711318","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Inquiry : a journal of medical care organization, provision and financing","raw_type":"Journal Article"},{"id":"mag:2349290","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/10711318","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.6240000128746033,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":22,"referenced_works":["https://openalex.org/W1489741075","https://openalex.org/W1512772171","https://openalex.org/W1517466388","https://openalex.org/W1561721762","https://openalex.org/W1732869701","https://openalex.org/W1970355853","https://openalex.org/W1970664842","https://openalex.org/W2010256798","https://openalex.org/W2011897513","https://openalex.org/W2017990047","https://openalex.org/W2033781589","https://openalex.org/W2043593255","https://openalex.org/W2052877306","https://openalex.org/W2055324659","https://openalex.org/W2068865469","https://openalex.org/W2112374372","https://openalex.org/W2145277151","https://openalex.org/W2151799581","https://openalex.org/W2328410447","https://openalex.org/W2401632478","https://openalex.org/W2468249953","https://openalex.org/W2754311185"],"related_works":["https://openalex.org/W2409616624","https://openalex.org/W2182478056","https://openalex.org/W2019465822","https://openalex.org/W2313756259","https://openalex.org/W2474035794","https://openalex.org/W10158924","https://openalex.org/W1973357014","https://openalex.org/W2460127699","https://openalex.org/W2418170679","https://openalex.org/W2461503882"],"abstract_inverted_index":{"This":[0],"paper":[1],"examines":[2],"global":[3,55,110],"capitation":[4,56],"of":[5,57,75,115],"integrated":[6],"health":[7,67,83,96,127,132],"provider":[8,84,116],"organizations":[9,18,24,59,85],"that":[10,54],"link":[11],"physicians":[12],"and":[13,19,77,99],"hospitals,":[14],"such":[15],"as":[16],"physician-hospital":[17],"management":[20],"service":[21],"organizations.":[22],"These":[23],"have":[25,109,123],"proliferated":[26],"in":[27,63,101],"recent":[28],"years,":[29],"but":[30],"their":[31],"contracting":[32,47,117,130],"activity":[33],"has":[34],"not":[35],"been":[36],"studied.":[37],"We":[38],"develop":[39],"a":[40],"conceptual":[41],"model":[42],"to":[43,108,122],"understand":[44],"the":[45],"capitated":[46],"bargaining":[48],"process.":[49],"Exploratory":[50],"multivariate":[51],"analysis":[52],"suggests":[53],"these":[58],"is":[60],"more":[61,87,93,106],"common":[62],"markets":[64],"with":[65,86,118,131],"high":[66],"maintenance":[68],"organization":[69],"(HMO)":[70],"market":[71],"share,":[72],"greater":[73],"numbers":[74],"HMOs,":[76],"fewer":[78],"physician":[79,102],"group":[80],"practices.":[81],"Additionally,":[82],"complex":[88],"case":[89],"mix,":[90],"nonprofit":[91],"status,":[92],"affiliated":[94],"physicians,":[95],"system":[97],"affiliations,":[98],"diversity":[100],"organizational":[103],"arrangements":[104],"are":[105],"likely":[107],"capitation.":[111],"Finally,":[112],"state":[113],"regulation":[114],"self-insured":[119],"employers":[120],"appears":[121],"spillover":[124],"effects":[125],"on":[126],"plan":[128],"risk":[129],"providers.":[133]},"counts_by_year":[{"year":2017,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}