capitation


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Related to capitation: Capitation tax

capitation

 [kap″ĭ-ta´shun]
the annual fee paid to a health care practice by each participant in a health plan.

cap·i·ta·tion

(kap'i-tā'shun),
A system of medical reimbursement wherein the provider is paid an annual fee per covered patient by an insurer or other financial source, which aggregate fees are intended to reimburse all provided services.
[L.L. capitatio, fr. caput, head]]

capitation

/cap·i·ta·tion/ (kap″ĭ-ta´shun) the annual fee paid to a physician or group of physicians by each participant in a health plan.

capitation

(kăp′ĭ-tā′shən)
n.
1. A poll tax.
2. A payment or fee of a fixed amount per person, such as one remitted at regular intervals to a medical provider by a managed care organization for an enrolled patient.

cap′i·tate′ v.
cap′i·ta′tive adj.

capitation

a payment method for health care services. The physician, hospital, or other health care provider is paid a contracted rate for each member assigned, referred to as "per-member-per-month" rate, regardless of the number or nature of services provided. The contractual rates are usually adjusted for age, gender, illness, and regional differences.

capitation

Capitated payment Managed care
1. 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;.
2. capitation payment is made on the basis of the number of members each month. See Bundling, Fee for service, HMO, Medicare risk contract, Per diem, PMPM, PPO, Rate setting. Cf Fee-for-service.

cap·i·ta·tion

(kap'i-tā'shŭn)
A system of medical reimbursement wherein the provider is paid an annual fee per covered patient by an insurer or other financial source; the aggregate fees are intended to reimburse all provided services.
See also: managed care
[L.L. capitatio, fr. caput, head]

cap·i·ta·tion

(kap'i-tā'shŭn)
A system of dental reimbursement wherein the health care provider is paid an annual fee per covered patient by an insurer or other financial source, which aggregate fees are intended to reimburse all provided services.
[L.L. capitatio, fr. caput, head]

capitation (kap´ətā´shən),

n 1. the practice of dentistry financed by a set fee per person per given period of time. A form of contracted dental care, usually by a corporation, institution, or other group.
2. a system by which the contracting dental professional, assuming the financial risk, is compensated at a fixed per capita rate, usually on specific, predetermined dental services as appropriate and necessary to eligible subscribers.
3. a dental benefits program in which a dental professional or dental professionals contract with the program's sponsor or administrator to provide all or most of the dental services covered under the program to subscribers in return for payment on a per capita basis.
capitation fee,
n a predetermined per-person charge made by the carrier for benefits available under an insurance plan.

capitation

the annual fee paid to a professional person of any sort as payment for providing services on a continuous basis. The fee paid is based on the number of animal participants in the scheme—the capitation fee.
References in periodicals archive ?
Moreover, Medicare noted in the proposed Federal Register regulations for Accountable Care Organizations that it increasingly may move in the direction of capitation payment systems.
Moreover, capitation payments account for no more than 7 percent of the total in the blended payment category.
Chernew and colleagues report that during a period of rapid increase in prescription drug spending, the capitation rates in a capitated prescription drug program increased rapidly, thus the system failed to slow spending growth.
Proposals to set capitation rates for these programs on the basis of health stares-based risk adjustment first surfaced in the Minnesota health policy arena in 1993, as a part of State and national level health care reform proposals (Minnesota Departments of Health and Human Services, 1996).
Insurance providers are no longer interested or willing to offer capitation.
Standard protocols will have to be adhered to by a majority of doctors in a majority of cases, It's easier to accept capitation reimbursement if you are able to provide a consistent level of care to a stable patient population.
Ethical guidelines for physician payment based on capitation.
Pickett, president of the California Medical Association, a doctors' lobbying group, said that what capitation really does is encourage doctors not to see their patients.
Managed care, capitation, and change raise issues in nursing leadership.
While few primary care capitation agreements now include services such as these, some specialty procedures are becoming more common.
Managed care programs are statistically driven by a capitation payment system that requires a careful analysis of health service use.
Health maintenance organizations - HMOs contract with employers to provide a predefined set of medical products and services for an annual capitation payment.