La capitation

Capitation among Medicare beneficiaries.

CONTEXT The Medicare program has promoted capitation as a way to contain costs. About 15% of Medicare beneficiaries nationwide are currently under capitation, but tremendous regional variation exists. PRACTICE PATTERN EXAMINED The proportion of Medicare beneficiaries who have enrolled in risk-contract plans in individual states and in the 25 largest metropolitan areas in the United States. ...

Overview of employer capitation activities

This article addresses a new initiative of the Health Care Financing Administration (HCFA) to contract on a group basis with: employer self-insurance plans, unions, group health insurance companies, and Taft-Hartley Health and Welfare Funds for groups of Medicare beneficiaries. under this new concept, Medicare beneficiaries may elect in the future to obtain Medicare coverage through their group...

Capitation and conflict of interest.

Risk Theory, Reinsurance, and Capitation

Risk theoretic analysis of capitation contracts suggests that capitation contracts are closely aligned to reinsurance contracts between insurance companies. Similarities and differences between these two forms of contractual instruments are reviewed, and several implications are discussed. Viewing capitation contracts as reinsurance contracts has implications that are incompatible with the over...

The Capitation Fee and Medical Education

Recently the news broke out about the crippling strike by junior doctors in Medical College and Hospitals of Maharashtra. The young doctors were agitating against decision of the Goverment to open private Medical Colleges for which seats will be offered on consideration of money (capitation fees). System of capitation fees for medical colleges has been in existence in some other states for a lo...