1. Capitation definition is - a direct uniform tax imposed on each head or person : poll tax
2. How to use Capitation in a sentence.
3. A method of payment for health services in which a physician or hospital are paid a fixed amount is paid per enrollee to cover a defined scope of services for a defined population set–aka covered lives for a defined period of time, regardless of actual number or nature services provided; Capitation may be used by purchasers to pay health plans or by plans to pay providers;.
Cover, Covered, Capitation
4. 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
5. A Capitation is a fixed-amount type of health care payment system
6. Capitation: a tax or imposition raised on each person in consideration of his labour, industry, office, rank, etc
7. Capitation has now developed as an upcoming form of providing healthcare payment by the health plan for medical care
8. The Capitation Healthcare Reimbursement Model
9. In contrast to the FFS model, Capitation is a performance-based system in which caregivers who contract with independent practice associations (IPAs) are financially incentivized to provide appropriate care and treatment that is designed to increase health and wellness rather than excessive
Contrast, Capitation, Caregivers, Contract, Care
10. Capitation is a payment arrangement for health care service providers such as physicians
11. Under Capitation, a physician or group of physicians receives a rish adjusted set amount for each enrolled
12. Capitation can encourage a doctor or practice to take on too many patients, more than they can ideally care for
Capitation, Can, Care
13. These Capitation payments are issued monthly or yearly and can impact how care is offered to patients
Capitation, Can, Care
14. The advantages and disadvantages of Capitation stem from the differences in how doctors are paid and the financial risks they incur when prescribing complex testing and treatment to patients.
15. Capitation is a payment model that focuses on paying healthcare providers and organizations based on quality care and improving patient outcomes
16. There are two types of Capitation that may be used.
17. Capitation is a prospective unit of payment per patient, per month or year, in which a payer makes a fixed payment for a defined set of services, regardless of the quantity of …
18. Primary care Capitation is a reimbursement model that refers solely to primary care clinical services
Care, Capitation, Clinical
19. When a primary care provider (PCP) signs a Capitation agreement, she agrees to provide a predetermined set of services
20. While the number and kind of services vary from plan to plan, most Capitation models for primary care services include:
21. Capitation definition, a numbering or assessing by the head
22. Capitation is a system of health insurance payments in which health professionals are paid fixed amounts per month based on the number of insured people they have as patients
23. Capitation by another name? Is the term “global payment” simply a euphemism for Capitation that is used to avoid that word’s negative associations? The answer, apparently, is “sometimes.” Jaan Sidorov, MD, a member of Managed Care’s editorial board, wrote in his Disease Management Care blog that Capitation had been “rebranded with
24. The neediest patients cost the current system the most and, therefore, come with the largest Capitation — potentially thousands of dollars, per patient, per month
Cost, Current, Come, Capitation
25. Put simply, Capitation is a system that incentivizes the best care for those who need it most
26. Capitation, their practices must become more cost efficient
27. The purpose of this research was to analyze the effects of Capitation on the overall reduction of healthcare cost
28. Key Words: Capitation, healthcare cost, fee-for-service, physician reimbursement, effectiveness
29. Capitation was meant to be a step up in terms of creating better incentives for efficiency, cost control, and preventive care in health care
Capitation, Creating, Cost, Control, Care
30. Under Capitation, a doctor, medical group, hospital or
31. Capitation, salary, fee-for-service and mixed systems of payment: effects on the behaviour of primary care physicians Cochrane Database Syst Rev
Capitation, Care, Cochrane
32. What does Capitation mean? A poll tax
33. (noun) The personal and habitation tax consists in fact of two different taxes, one imposing a fixed Capitation charge on all citizens alike of every department, the charge, however, varying according to the department from I fc
Consists, Capitation, Charge, Citizens
34. Medicare is pushing further toward Capitation with the introduction of Primary Care First (PCF) and Direct Contracting (DC) models
Capitation, Care, Contracting
35. It requires partial Capitation for all practices in the model and expands the scope of services covered.
36. Malcolm Tatum Date: February 08, 2021 Capitation payments are advance payments made to healthcare providers by a health insurance company.
37. Capitation payments are advance payments made to healthcare providers by a health insurance company
38. Global Capitation is a payment model specifically for integrated health care delivery
39. In this model, Capitation payment for services delivered by different providers or at different levels of care is combined into a single prospective payment to an integrated care organization or a large physician group.
Capitation, Care, Combined
40. One common recommendation has been to use Capitation, as opposed to fee …
41. Even though Capitation’s penetration and at-risk revenue has stagnated, many health systems and providers seeking to move into value-based care have believed that “if we build the infrastructure and capabilities, they, the payers, will come.” 17 This may result in building systems that reduce utilization and reduce compensation, without
Capitation, Care, Capabilities, Come, Compensation
42. ‘An increase in Capitation grants to schools of only €50 per pupil would meet the annual insurance costs.’ ‘By combining several regional groups of physicians, they were able to negotiate Capitation payments for large patient populations.’
Capitation, Costs, Combining
43. A Monthly Capitation Payment (MCP) is a payment made to physicians for most dialysis-related physician services furnished to Medicare End Stage Renal Disease (ESRD) patients on a monthly basis
44. Under a Capitation, an HMO or managed care organization pays …
45. Actuarial and consulting services related to the development of actuarially sound medical Capitation rates for the Nevada TANF, Check-up and Expansion populations
Consulting, Capitation, Check
46. This report provides the supporting documentation for Capitation rates which will be paid to managed care organizations (MCOs) during the calendar year (CY) 2019 contract period.
Capitation, Care, Calendar, Cy, Contract
47. The monthly Capitation payment for each Enrollee is due to the Contractor from the Effective Date of Enrollment until the Effective Date of Disenrollment of the Enrollee or termination of this Contract, whichever occurs first
Capitation, Contractor, Contract
48. The Contractor shall receive a full month´s Capitation payment for the month in which disenrollment occurs.
49. Synonyms for Capitation in Free Thesaurus
50. 4 words related to Capitation: revenue enhancement, tax, taxation, poll tax
51. What are synonyms for Capitation?
52. Capitation payments and full risk sharing were more common in southern California, with 23 percent of the commercial population obtaining care from a provider with full financial risk in 2017
Capitation, Common, California, Commercial, Care
53. Medi-Cal Managed Care Capitation Rates – Two-Plan Model This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in Two-Plan model counties by State Fiscal Year
Cal, Care, Capitation, Counties
54. Managed Medical Assistance (MMA) 2020/2021 MMA Capitation Rates (October 2020 - September 2021) [414KB PDF] 2019/2020 MMA Capitation Rates (October 2019 - September 2020) [450KB PDF] 2018/2019 MMA Capitation Rates (SMMC Implementation - September 2019) [396KB PDF]
55. A Capitation-based primary care payment system in Hawaii improved quality of care, new research shows
56. The Affordable Act 2010 has helped to direct healthcare towards the Capitation reimbursement method, rather than a fee for service and overcoming the financial risk in the healthcare sector
57. Because of different factors, Capitation reimbursement methods are developing as the model of choice for the value-based care movement.
Capitation, Choice, Care
58. Of the 100 Capitation payments in our stratified random sample, 66 Capitation payments were associated with beneficiaries who were residing and eligible for Medicaid benefits in Illinois
59. However, for the remaining 34 Capitation payments, totaling $11,867 ($6,562 Federal share), Illinois made Capitation payments on behalf of beneficiaries who
The amount of remuneration is based on the average expected health care utilization of each patient in the group, with higher utilization costs assigned to groups with greater expected medical needs. The term capitation comes from the Latin word for caput, meaning head, and is used to describe the headcount within an HMO or similar group.
Capitation is a type of a health care payment system in which a doctor or hospital is paid a fixed amount per patient for a prescribed period of time by an insurer or physician association. It pays the doctor, known as the primary care physician...
There are advantages and disadvantages of capitation, just like in any health care payment system. Some of the advantages are intended to reduce costs and increase quality of care: Managing a capitation system can be easier and more cost effective because the only thing to keep track of are the number of enrolled members.
There are three types of capitation: Primary: Primary care physicians receive payment for their patient members from their HMO. Secondary: HMOs broker a relationship between PCPs and secondary providers in which those secondary providers receive capitation payments based on the physician’s number of patients.