INSURANCE CAPITATION FEE

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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...

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Partial capitation versus fee-for-service in mental health care.

Reimbursement strategies represent a key tool in implementing public policy. Often the relationship between changes in reimbursement policy and changes in provider behavior is difficult to predict, particularly in complex service systems. Here we present findings from a multiyear study involving the comparison of alternative Medicaid reimbursement systems for intensive case management services:...

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Mandatory pooling as a supplement to risk-adjusted capitation payments in a competitive health insurance market.

Risk-adjusted capitation payments (RACPs) to competing health insurers are an essential element of market-oriented health care reforms in many countries. RACPs based on demographic variables only are insufficient, because they leave ample room for cream skimming. However, the implementation of improved RACPs does not appear to be straightforward. A solution might be to supplement imperfect RACP...

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Capitation, salary, fee-for-service and mixed systems of payment: effects on the behaviour of primary care physicians.

BACKGROUND It is widely believed that the method of payment of physicians may affect their clinical behaviour. Although payment systems may be used to achieve policy objectives (e.g. cost containment or improved quality of care), little is known about the effects of different payment systems in achieving these objectives. OBJECTIVES To evaluate the impact of different methods of payment (capi...

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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. ...

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ژورنال

عنوان ژورنال: BMJ

سال: 1924

ISSN: 0959-8138,1468-5833

DOI: 10.1136/bmj.1.3291.177