Discover how capitation payments influence healthcare costs and services. Learn about fixed monthly payments for providers ...

For primary care physicians, a capitation model risk adjusted for age and sex generates the smallest physician gender pay gap, researchers found. For primary care physicians, the gender pay gap among ...

Over the past several years, the big trend in healthcare has been to inch away from fee-for-service reimbursement and toward value-based care, in which a provider's reimbursement is tied more to ...

This study of financial implications of risk adjustment for Medicare payments to individuals with comorbidities and functional impairment demonstrates the importance of controlling for disability. : ...

Building on all-payer models in Maryland and Vermont, the Centers for Medicare and Medicaid Services this week announced a new global capitation model for rural hospitals in Pennsylvania.

Many healthcare delivery organizations have adopted some form of value-based payment model in recent years, shifting the healthcare focus from quantity of services to quality of outcomes. In a ...

Established healthcare organizations, whether it be health systems, accountable care organizations, or independent provider groups often grapple with the dilemma of fully embracing risk. Fears of ...

The option of capitated payments for accountable care organizations makes it possible for ACOs to lose money if they fail to reduce the cost of care, according to a report by the Wall Street Journal ...

A key issue in the decades-long struggle over US health care spending is how to distribute liability for expenses across all market participants, from insurers to providers. The rise and abandonment ...

o understand the primary care capitation model, it is crucial to first understand what primary care is. It is not a new concept. We have already heard of the commitments of health for all and leave no ...

At the heart of the problem in healthcare today is the nation’s current payment methodology, called fee-for-service. In the United States, patients aren’t getting what they pay for. Not even close.