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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.
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.
Granting the government additional power to reduce the compensation of doctors and hospitals, as it does with Medicare and Medicaid. This would likely occur with a single-payer solution. Shifting from expensive intervention at the end-of-life to more low-cost palliative care, to address healthcare cost concentration among those in the last ...
The American Association for Medicare Supplement Insurance says a 65-year-old nonsmoking woman in New York City might pay between $306 and $606 a month for a comprehensive Part G plan in 2025 ...
An HMO or other managed care plan can contract with an IPA, which in turn contracts with independent care providers or physicians to treat members at discounted fees or on a capitation basis.
A nearly 3% Medicare payment cut for physicians is set to take effect in 2025, raising concerns about the potential impact on patient care, particularly in rural and underserved areas. The Centers ...
Some HMOs pay gatekeeper PCPs set fees for each defined medical procedure they provide to insured patients (fee-for-service) and then capitate specialists (that is, pay a set fee for each insured person's care, irrespective of which medical procedures the specialists performs to achieve that care), while others use the reverse arrangement.
California Gov. Gavin Newsom last year agreed to a tax increase that aimed to do two things: Help balance a budget with a multibillion-dollar shortfall, and pay doctors more money to treat ...