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Secondary capitation is a relationship arranged by a managed care organization between a physician and a secondary or specialist provider, such as an X-ray facility or ancillary facility such as a durable medical equipment supplier whose secondary provider is also paid capitation based on that PCP's enrolled membership.
The central feature that makes any system a patient portal is the ability to expose individual patient health information in a secure manner through the Internet. In addition, virtually all patient portals allow patients to interact in some way with health care providers.
How healthcare payment is managed is one of key policies that countries have to drive healthcare system. Payment for healthcare is managed in various ways. The main categories of payment systems are salary, capitation, bundled payment, global budget and fee-for-service. Most countries have mixed systems of physician payment. [1] [2]
HHN (Hospitals & Health Networks) Magazine. Archived from the original on 2011-07-11; Pham HH, Ginsburg PB, Lake TK, Maxfield MM (January 2010). "Episode-based payments: charting a course for health care payment reform" (PDF). Washington, DC: National Institute for Health Care Reform. Archived from the original (PDF) on 2010-08-19
Utilization management is "a set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient care decision-making through case-by-case assessments of the appropriateness of care prior to its provision," as defined by the Institute of Medicine [1] Committee on Utilization Management by Third Parties (1989; IOM is now the National ...
Sep. 21—What if the solution to New Mexico's health care provider shortage were as simple as getting a robot to help with the paperwork? It's probably not a panacea, and it's not exactly a robot ...
Capitation may refer to: Poll tax or head tax, a tax of a fixed amount per individual Capitation (healthcare) , a system of payment to medical service providers
In the United States, a health maintenance organization (HMO) is a medical insurance group that provides health services for a fixed annual fee. [1] It is an organization that provides or arranges managed care for health insurance , self-funded health care benefit plans, individuals, and other entities, acting as a liaison with health care ...