A* If any school would be found charging capitation
fee--directly or indirectly in any form-- it shall be punishable for fine up to 10 times of the capitation
fee or `5 lakh, whichever is more.
Medicare has implemented capitation
payments in its managed care product, Medicare Advantage.
Sometimes the HMO offers this reporting service to the provider as part of the capitation
The success of capitation
requires not only a reduction in the level of spending, but also a reduction in the rate of spending growth.
From the inception of these programs and until January 1, 2000, capitation
payment rates have been based on combinations of the demographic characteristics, age, sex, prepaid program, region, institutional status, Medicare coverage status, pregnancy status, parental status, and family income.
is a statistical and, more specifically, actuarial tool.
Using the financial proforma model, sensitivity analysis can be undertaken on key assumptions that drive financial performance, such as the Medicare and Medicaid capitation
rates, enrollment growth, and rate of nursing home admissions.
One way out is for hospital systems to embrace capitation
and try to capture the margin of arbitrage.
Some 78 percent of respondents to the 2000 Capitation
Survey report that they are either seeking more capitation
or are maintaining their current level of risk agreements.
does have a future, but it will have to evolve as different markets continue to evolve.
10] The patient's attorney argued that such a referral would have cost the physicians more than $1,000 because the patient was insured under a capitation