Primary health care and capitation method of payment
نویسندگان
چکیده
منابع مشابه
Does a provider payment method affect membership retention in a health insurance scheme? a mixed method study of Ghana’s capitation payment for primary care
BACKGROUND Ghana introduced a National Health Insurance Scheme (NHIS) in 2003 applying fee-for-service method for paying NHIS-credentialed health care providers. The National Health Insurance Authority (NHIA) later introduced diagnosis-related-grouping (DRG) payment to contain cost without much success. The NHIA then introduced capitation payment, a decision that attracted complaints of falling...
متن کاملChallenges of Payment System to Primary Health Care Providers in Iranian Comprehensive Health Centers
Background and purpose: The primary health care program for the suburbs is being implemented in Iran after the Health Transformation Plan where services are delivered with the priority of outsourcing and purchasing services from non-governmental sectors. In this program, different payment methods have been used. This study aimed at addressing the challenges associated with payments made to urba...
متن کاملWeight of Risk Factors for Adjusting Capitation in Primary Health Care: A Systematic Review
Background: Capitation payment is the best-known strategy for paying providers in primary health care. Since health care needs and personal characteristics play an essential role in health care utilization and resource spending, there is a growing tendency on risk adjustment models among health researchers. The objective of this systematic review was to examine the weights used for risk adjust...
متن کاملMedicaid managed care payment methods and capitation rates in 2001.
We present results from a survey of Medicaid managed care payment methods and rates in 2001 for AFDC/TANF and poverty-related Medicaid populations, updating a similar survey of 1998 rates. Rates were adjusted for differences in age-sex groupings, maternity payments, and service carve-outs. A twofold variation in Medicaid capitation rates remains, although there was a change in the composition o...
متن کاملEvaluation of the case mix and equity of age-sex adjusted primary care capitation payment models in Ontario, Canada
Address: 1Health System Performance Research Network, Department of Health Policy, Management, and Evaluation, University of Toronto, Canada and 2Centre for Research on Inner City Health and Department of Family and Community Medicine, St. Michael's Hospital, Institute for Clinical Evaluative Sciences (ICES), Departments of Family and Community Medicine and Dalla Lana School of Public Health, U...
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ژورنال
عنوان ژورنال: Zdravstvena zastita
سال: 2009
ISSN: 0350-3208
DOI: 10.5937/zz0903073k