Many healthcare delivery organizations have adopted some form of value-based payment model in recent years, ... and Community Health), which includes global capitation for aligned beneficiaries.

Medicaid and CHIP have grown dramatically, are inefficient and vulnerable to abuse. Reform is not only responsible but also ...

Battle lines are being drawn in Washington over whether to reduce spending on Medicaid and the Children’s Health Insurance ...

Initially, capitation rates for Medicare Advantage were set at 95% of the average cost of an enrollee in original Medicare. But later, officials added a so-called risk-adjustment process.

ABUJA – In a move, the National Health Insurance Authority (NHIA) has significantly raised two primary payment mechanisms for healthcare providers capitation and fee-for-service payments marking ...

One year after its Iora acquisition, revenue from capitated contracts represents half of One Medical’s net revenue even though the provider’s at-risk members comprise just 5% of total membership.

The National Health Insurance Authority (NHIA) has announced a significant increase in capitation and fee-for-service payment mechanisms to improve service delivery and motivate healthcare ...

o understand the primary care capitation model, it is crucial to first understand what primary care is. It is not a new concept. We have already heard of the commitments of health for all and ...

Halvorson delves into key topics like capitation, healthcare cost management, and the ongoing challenges facing the Medicare system. Advertisement. By: Staff. Monday, September 30th, 2024.