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 ?
Moreover, as HMOs capitate provider organizations and delegate clinical management responsibilities to them, measuring access to care performance differences among capitated provider organizations becomes increasing important.
In theory, capitated payment, when accompanied by the risk of financial loss or the potential for financial gain, should reduce the use of expensive inpatient treatment settings and encourage the use of less-costly inpatient settings and outpatient treatment programs.
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.
The city they are Invading is the capitated, hospital-centered, vertically-integrated delivery system of today.
6 million Medicaid beneficiaries were enrolled in some form of "capitated care," which is provided through primary care case management programs (PCCMs) or through a prepaid capitated arrangement (HCFA 1996b).
If the plan is unable to supply utilization rates for its covered population, providers will need to estimate rates based on their current patients' utilization patterns and the differences between them and the capitated plan's patients.
Congress intervenes, it is probable that most states, in one to three years, will place at least part of their Medicaid population into capitated plans in which providers are paid a flat fee per member per month (PMPM) - or capitation - no matter how much care is rendered.
While the growth in managed care enrollment has encouraged physician groups to "sell their practices, the fiscal incentives in capitated payment (i.
PACE sites are very small - there are only about 2,000 enrollees nationwide - but there is already evidence of some acute care savings, and the experiment is giving providers experience in coordinating care within a capitated reimbursement system.
Further, executives usually defined success in modest terms such as "maintaining ties with primary care physicians" and "3,000 to 10,000 capitated lives.
In Minnesota, for example, the demonstration program blends Medicare and Medicaid funds into a capitated rate.
This hands-on guide offers practical information on how to understand, negotiate, and implement a capitated contract for a successful medical practice.