Capitation Payment Method

Known as: Capitation, Capitation Payment 
The payment mechanism that is used to reimburse healthcare providers for the care provided to a patient in form of a regular periodic fee, which is… (More)
National Institutes of Health

Papers overview

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Review
2017
Review
2017
Pay-for-performance (P4P) programs provide financial rewards or penalties to individual health care providers, groups of… (More)
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Highly Cited
2006
Highly Cited
2006
Primary care is essential to the effective and efficient functioning of health care delivery systems, yet there is an impending… (More)
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Highly Cited
2004
Highly Cited
2004
This article describes the CMS hierarchical condition categories (HCC) model implemented in 2004 to adjust Medicare capitation… (More)
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Highly Cited
2004
Highly Cited
2004
OBJECTIVE To develop Clinical Risk Groups (CRGs), a claims-based classification system for risk adjustment that assigns each… (More)
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Highly Cited
1999
Highly Cited
1999
BACKGROUND Because primary care physicians (PCPs) are the initial health care contact for most patients with depression, they are… (More)
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Highly Cited
1996
Highly Cited
1996
Using 1991-92 data for a 5-percent Medicare sample, we develop, estimate, and evaluate risk-adjustment models that utilize… (More)
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Highly Cited
1995
Highly Cited
1995
Somatization, the reporting of somatic symptoms that have no pathophysiological explanation, appears to be increasing as… (More)
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Highly Cited
1995
Highly Cited
1995
The mode of payment creates powerful incentives affecting provider behavior and the efficiency, equity and quality outcomes of… (More)
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Highly Cited
1989
Highly Cited
1989
Several analysts have proposed adding adjusters based on health status and prior utilization to the adjusted average per capita… (More)
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Highly Cited
1989
Highly Cited
1989
The diagnostic cost group approach to a reimbursement model for health maintenance organizations is presented. Diagnostic… (More)
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