capitated


Also found in: Dictionary.
Related to capitated: capitated rate

capitated

(kăp′ĭ-tā′tĭd)
adj.
Characterized by or requiring capitation: a capitated HMO.
The American Heritage® Medical Dictionary Copyright © 2007, 2004 by Houghton Mifflin Company. Published by Houghton Mifflin Company. All rights reserved.
References in periodicals archive ?
Financial viability in a capitated payment model depends on the physician's having a sufficiently large number of patients, and especially a large number of healthy patients who need little or no continuing care.
Team-based care and the ability to distribute tasks to appropriately trained and coordinated staff members, coupled with the workflows and information technologies to drive performance, especially in a bundled or capitated payment environment, can offer nonprofit providers opportunities for some of the flexibility and innovation seen in the private sector.
IN THE 1980S, AUSTIN REGIONAL CLINIC, A network of Texas physician groups, was a fully capitated program serving 80,000 people.
The researchers also assumed that when practices transition to a capitated system many of them also adopt a primary care medical home (PCMH) model that often includes changes in staffing ratios almost always resulting in a higher staff to physician ratio.
As a final alternative, the group suggested that the current payment improvement models be expanded to the entire Medicaid population, without incorporating any model using MCOs or capitated payments.
To guard against one problem that cropped up in the 1990s -- complaints that some capitated physicians were keeping patients from getting necessary care -- the ACO programs are supposed to reward the ACOs for providing good care as well as for providing efficient care.
My guess is that many doctors who succeed at setting up capitated concierge practices will end up skimping on care or rationing care by letting office waiting rooms fill up.
The Medicare program also should improve its oversight of its Special Needs Plans, which make capitated payments for the care of about 1 million dual-eligible patients with conditions such as end-stage renal disease, the report said.
As part of its charge, the innovation center will develop and evaluate pilot projects for new and old payment ideas that include accountable care organizations, patient-centered medical homes, bundled payments, and capitated payments.
Capitated contracts proliferated in many parts of the country during the managed care era over a decade ago.
NEWS: Some of the concepts--such as medical homes and capitated payments--have been tested before.