DEFINITION of 'Capitation Payments'. Payments agreed upon in a capitation contract by a health insurance company and a medical provider. It is a fixed, pre-arranged monthly payment received by a physician, clinic or hospital per patient enrolled in a health plan with a capitated contract. Monthly payment is calculated one year in advance and remains fixed for that year, regardless of how often the patient needs services.
http://www.investopedia.com/terms/c/capitation-payments.asp
Capitation payments are defined, periodic, per-patient payments (usually monthly) for each individual enrolled in a capitated insurance plan. For example, a provider could be paid per-month, per-patient, despite how many times the patient comes in for treatment or how many services needed. The payment varies, depending on the capitation agreement, but generally they are based on characteristics such as the age of the individual enrolled in the plan.
http://www.investopedia.com/terms/c/capitation-payments.asp
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.
http://medical-dictionary.thefreedictionary.com/capitation
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.
http://medical-dictionary.thefreedictionary.com/capitation
Cost Containment Strategy and Logic A global payment—a fixed prepayment made to a group of providers or a health care system (as opposed to a health care plan)—covers most or all of a patient’s care during a specified time period.
http://www.ncsl.org/portals/1/documents/health/GLOBAL_PAYMENTS-2010.pdf
2 National Conference of State Legislatures Global payments also are known as risk-adjusted capitation and bundled global payments. Health economists and others are increasingly promoting glob-al payments as an important strategy to slow growth of health care expenditures.
http://www.ncsl.org/portals/1/documents/health/GLOBAL_PAYMENTS-2010.pdf
Episode-based payments cover an episode of illness or medical condition, such as a heart attack, hip replacement or diabetes. The term global payment includes capitation, most frequently used to pay health maintenance organizations (HMOs) on a per-member, per-month basis for all care covered by the HMO plan. Some important differences exist between the current concept of global payments and traditional capitation, how-ever.
http://www.ncsl.org/portals/1/documents/health/GLOBAL_PAYMENTS-2010.pdf
(March 2011). Capitation is a payment arrangement for health care service providers such as physicians or nurse practitioners. It pays a physician or group of physicians a set amount for each enrolled person assigned to them, per period of time, whether or not that person seeks care.
https://en.wikipedia.org/wiki/Capitation_(healthcare)
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.
http://medical-dictionary.thefreedictionary.com/capitation
They also include better ways to adjust payment for the overall health and specific chronic con-ditions (i.e., risk level) of patients covered by global payments. Further, they use more sophisticated, often electronic, systems to manage care.
http://www.ncsl.org/portals/1/documents/health/GLOBAL_PAYMENTS-2010.pdf
what is budget based capitation
A Budget based capitalisation is a payment arrangement for health care service providers such as physicians or nurse practitioners. Budget based capitation is a payment arrangement for health care service providers such as physicians or nurse practitioners.