capitated


Also found in: Medical.
Related to capitated: capitated rate

cap·i·tat·ed

 (kăp′ĭ-tā′tĭd)
adj.
Characterized by or requiring capitation: a capitated HMO.

capitated

(ˈkæpɪˌteɪtɪd)
adj
having a fixed upper limit
References in periodicals archive ?
Of Peripheral Vascular Stents and Balloons Capitated Pricing.
Seven of the nation's ten largest Medicaid programs (FL, IL, MA, NC, NY, OH and TX) rank 25th or lower in the degree of their Medicaid spending that is capitated.
A PACE program uses care coordination and capitated financing to provide a full range of preventive, primary, acute and long-term care services across a variety of settings with the goal of enabling frail older individuals to live as independently as possible.
Under capitated agreements, provider organizations receive a fixed per-member, per-month payment for providing medical care to health-plan members.
Providers favor fee-for-service arrangements; insurers desire capitated payment to pass on most of the risk to the providers; and consumers are willing to accept point-of-service or discounted fee-for-service arrangements in return for being assured access to their physicians and maintaining some choice in selecting other providers.
To evaluate the association between physician-reported utilization management (UM) techniques in capitated physician groups and physician satisfaction with capitated care.
Organizations that operate PACE programs receive capitated payments, usually from both Medicare and Medicaid, and are responsible for all the services a member needs.
I'm willing to discount or waive my fees, but I won't take capitated patients.
At the same time that States have been struggling to structure EPSDT coverage policies, however, many have also been accelerating their use of capitated managed care, in effect shifting decisionmaking authority for children's services from Medicaid agencies to plans.
Table 7 Effect of the Utah Prepaid Mental Health plan on Outpatient Mental Health Visits: Difference Between Capitated and Non-Capitated Sites (per Beneficiary per Month)
These risks and uncertainties include, but are not limited to, changes in local, regional, and national economic and political conditions, the effect of governmental regulation, competitive market conditions, varying trends in member utilization, our ability to manage healthcare operating expenses, the profitability of our capitated contracts, cost of care, seasonality, and other risks detailed from time to time in the Company's SEC reports.
This is the first HMO contract Stanford Faculty Practice has signed since the announcement in May that it will end all of its capitated HMO contracts.