This is quite a long and chunky paper so thought we could get some discussion going to help the material sink in
The paper mainly discusses risk from the provider’s perspective, and also introduces 4 types of risks: utilization risk, technical risk, insurance risk and performance risk. In your own words, try to:
- Define each of the 4 types of risk (in the context of this article).
- Choose 1 of the 8 eight payment models (fee-for-service (FFS), global capitation, shared savings, diagnosis related group (DRG)/case rates, bundled payments, reference pricing, provider excess loss (PEL), reinsurance and pay-for-performance (P4P)) and describe how each of the 4 risks in Question 1 applies to that particular payment model.