Discover how capitation payments influence healthcare costs and services. Learn about fixed monthly payments for providers ...

Critics of global capitation say it represents too much risk for providers. But four panelists at the 5th Annual Pay for Performance Summit held here in March say they have had success with this ...

Many healthcare delivery organizations have adopted some form of value-based payment model in recent years, shifting the healthcare focus from quantity of services to quality of outcomes. In a ...

Over the past several years, the big trend in healthcare has been to inch away from fee-for-service reimbursement and toward value-based care, in which a provider's reimbursement is tied more to ...

A key issue in the decades-long struggle over US health care spending is how to distribute liability for expenses across all market participants, from insurers to providers. The rise and abandonment ...

At the heart of the problem in healthcare today is the nation’s current payment methodology, called fee-for-service. In the United States, patients aren’t getting what they pay for. Not even close.

The California Department of Health Care Services agrees with the audit findings. Federal watchdogs are asking Medi-Cal to refund $15.7 million in unallowable capitation payments made to managed care ...

Herzlinger, Regina E., and Tom Nagle. "Note on Reimbursement of Health Care Providers: Case-Based and Capitation Payment." Harvard Business School Background Note 194-141, May 1994. (Revised February ...