Sentence examples for Per capitation from inspiring English sources
The concept must be that no additional charges shall be demanded of the already negligible resources of the insurers but rather the relevant adjustment will be made in the Per Capitation Unit (PCU) ensuring access and attention to those suffering from chronic diseases like RA.
In summary the payment-method reforms involve: Introducing capitation (per capita payment) to replace DRG for service & FFS for medicines at the primary care level, retaining DRG for Services & Fee for service (FFS) for medicines at Specialist OPD clinics, Hospital referrals and inpatients (district, regional, specialist and teaching hospitals).
Medicare Advantage revenue is based on capitation payments (fixed dollars per person), and Broussard observes that Humana's Medicare Advantage members typically remain members for 7-10 years.
You might think that people headquartered in the capital working on capitation would be careful about their capitalization.
In 2000, Mills et al. cautioned the drawback of capitation payment is that insurance controls costs by transferring the risk to the health care providers [ 13].
Under capitation, physicians receive the same monthly capitation payment per patient regardless of the number of visits a patient makes.
"Getting away from capitation is not good for keeping costs under control," said Paul B. Ginsburg, president of the Center for Studying Health System Change, a nonprofit research center in Washington.
The use of differentiated models for capitation and medicine payments is based on the findings of Zhao et al. [ 28], who give better predictive power for future prescription drug costs for mixed models that combine diagnostic and drug use data.
In capitation based systems, this relationship is much weaker, since the annual capitation fee per patient is fixed.
Ann Lindsay (Stanford Coordinated Care) started her talk with a blurb about how Stanford Hospital was paid via capitation.
Some plans are even moving away from charging monthly capitation fees for each member, said Kenneth L. Sperling, a consultant at Hewitt Associates.
