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  2. Capitation (healthcare) - Wikipedia

    en.wikipedia.org/wiki/Capitation_(healthcare)

    HMOs and insurers manage their costs better than risk-assuming healthcare providers and cannot make risk-adjusted capitation payments without sacrificing profitability. Risk-transferring entities will enter into such agreements only if they can maintain the levels of profits they achieve by retaining risks. [4] [6]

  3. Healthcare payment - Wikipedia

    en.wikipedia.org/wiki/Healthcare_payment

    Secondary capitation is a relation arranged by care organization between a physician and a secondary or specialist provider, i.e. or ancillary facility or an X-ray facility. Global capitation is a relationship based on a provider who provides services and is reimbursed per-member per-month for the entire network population.

  4. Capitation fee - Wikipedia

    en.wikipedia.org/wiki/Capitation_fee

    Capitation fees are generally seen as a main revenue generator that private institutions may charge, which contend that admissions that cater to affordable sections of society somehow affect the overall number of students educated. [9] [10] The government also controls the seat allocation, number and ratio of management, payment, and free seats ...

  5. File:California Executive Order N-33-20.pdf - Wikipedia

    en.wikipedia.org/wiki/File:California_Executive...

    Pursuant to the California Public Records Act (Government Code § 6250 et seq.) "Public records" include "any writing containing information relating to the conduct of the public’s business prepared, owned, used, or retained by any state or local agency regardless of physical form or characteristics."

  6. Bundled payment - Wikipedia

    en.wikipedia.org/wiki/Bundled_payment

    Unlike capitation, bundled payment does not penalize providers for caring for sicker patients. [ 5 ] Considering the advantages and disadvantages of fee-for-service, pay for performance , bundled payment for episodes of care, and global payment such as capitation, Mechanic and Altman concluded that "episode payments are the most immediately ...

  7. Medicare Advantage - Wikipedia

    en.wikipedia.org/wiki/Medicare_Advantage

    In 2022, 295 plans (up from 256 in 2021) covered all Medicare services, plus Medicaid-covered behavioral health treatment or long term services and support. [6] In 2022, 1000 MA plans were projected to enroll 3.7 million people in VBID. The hospice benefit will be offered by 115 Medicare Advantage plans in 22 states and territories. [6]