A recent managed-care survey by Alden Risk Management Services found two-thirds of physician respondents expect to receive patients under capitation within the next five years.
More than 40% said they've been receiving patients through such arrangements for more than three years from an average of 2.75 HMOs.
The 110 respondents said some 15,700 of their patients and 15.7% of their current revenues are generated through capitation agreements. In five years, they expect revenues from such contracts to rise to 64.5% of total practice revenues.
Although the physicians anticipate more of these arrangements, 69% either haven't purchased or don't know whether they're purchasing excess loss coverage.
Alden Risk Management Services, a subsidiary of Miami-based John Alden Life Insurance Co., manages $120 million in managed-care excess loss coverage.