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Healthcare Capitation
Capitation is a fixed amount of money per patient per unit of time paid in advance to the physician for the delivery of health care services. The actual amount of money paid is determined by the ranges of services that are provided, the number of patients involved, and the period of time during which the services are provided. When the primary care provider signs a capitation agreement, a list of specific services that must be provided to patients is included in the contract.
The amount of the capitation will be determined in part by the number of services provided and will vary from health plan to health plan, but most capitation payment plans for primary care services include the following:
- Preventive, diagnostic, and treatment services
- Injections, immunizations, and medications administered in the office
- Outpatient laboratory tests done either in the office or at a designated laboratory
- Health education and counseling services performed in the office
- Routine vision and hearing screening [1]
- ^ Alguire, MD, FACP, Patrick C. (November 17, 2016). "Understanding Capitation". American College of Physicians. Retrieved November 17, 2016.
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References
edit- ^ Alguire, MD, FACP, Patrick C. (November 17, 2016). "Understanding Capitation". American College of Physicians. Retrieved November 17, 2016.
{{cite web}}: CS1 maint: multiple names: authors list (link)
External links
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