What reimbursement method pays providers pre established payments in advance?
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Show What is a capitation payment?Capitation is a payment arrangement for health care services in which an entity (e.g., a physician or group of physicians) receives a risk adjusted amount of money for each person attributed to them, per period of time, regardless of the volume of services that person seeks.
What is an example of capitation?A capitation example would be an IPA—a type of HMO—that has 5,000 patients. The IPA needs to secure insurance coverage for its patients for the upcoming year. Thus, it would enter into a capitation contract with a physician. The physician would be paid a fixed payment to treat all 5,000 patients.
What is the most common form of reimbursement in healthcare?Fee-for-service (FFS) is the most common reimbursement structure and is exactly what it sounds like: providers bill a code for every service performed, including supplies.
What is capitation revenue?Capitation Revenues means all payments from managed care organizations, where payment is made periodically on a per member basis for the partial or total medical care needs of a patient, co-payments and all HMO incentive bonuses.
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