Risk-bearing arrangements and capital financing strategies for integrated health systems: Conceptual framework and case examples

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This paper analyzes the emerging marketplace arrangements in health care that shift risk between different organizations and economic agents. The linkages between these risk-bearing arrangements and the strategies used by health care organizations to finance their capital investments are discussed. A conceptual framework for predicting the success of different players in pursuing particular risk-bearing and capital financing strategies is presented and illustrated by reference to specific case examples from the professional and health services research literature.

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