Dramatic results require an electronic medical record. EMR deployment is driven by capitation.
Size of practice
% with Capitated Contracts
% of Revenue Capitated
1
26.6
16.8
2-5
31.6
15.4
6-10
26.2
18.6
11-20
34.5
15.5
21-50
46.5
20.0
51 or more
75.2
37.5
All Physicians
32.5%
19.2%
In 1994-95 capitation increased sharply from 26% to 33% of practices with at least one capitated contract.
30% revenue capitation is not enough to motivate change according to some IDNs.
The market may be ready in 1999 (over 50% revenue capitation in large groups). Early adopters are moving now.
References
Simon, Carol J. and Emmons, David W. [1997]
Physician Earnings at Risk: An Examination of Capitated Contracts
.
Health Affairs 16:3:120-126.
© Jeff Sutherland 1995-98
