capitation (redirected from capitation fee)

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.

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cap·i·ta·tion (kp-tshn)

n.

A fixed payment remitted at regular intervals to a medical provider by a managed care organization for an enrolled patient.

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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.

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capitation (kap´tā´shn),

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.

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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.

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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.