Sentence examples for under capitated plans from inspiring English sources
In addition, our estimates do not reflect medical expenditures for youth insured under capitated plans.
Fully or partially capitated plans include HMO plans and capitated POS plans (18).
Fully or partially capitated plans include health maintenance organizations and point-of-service plans with capitation (15).
Finally, partial prophylaxis was more common in capitated plans for African Americans and Caucasians compared with non-capitated plans.
Enrollee health plans are divided into fee-for-service (FFS) plans and fully or partially capitated plans.
For those enrolled in capitated plans, payment records often reflect encounter status and not the actual payment (18).
Types of health plans from which enrollees obtain services can be divided into fee-for-service (FFS) plans and fully or partially capitated plans.
The database differentiates between inpatient and outpatient claims, facility and professional claims, and includes information on health care plan type to identify capitated plans (health maintenance organization (HMO)).
Our sample only represents those enrolled in FFS plans and, therefore, may not reflect medical expenditures for those enrolled in capitated plans.
Providers are at financial risk in capitated plans and the insured have less choice where treatment and health care providers are concerned.
We limited our analysis to individuals enrolled in FFS plans because their insurance claims represent actual payment for the services, whereas payment records in capitated plans often only reflect encounters (15).
