Propose who bears the financial risk of a capitation payment system: the provide
ID: 2784010 • Letter: P
Question
Propose who bears the financial risk of a capitation payment system: the provider, the patient, or the consumer-driven health plan itself. Use at least five (5) current references. Three of these references must be from current peer-reviewed sources to support and substantiate your comments and perspectives. Propose who bears the financial risk of a capitation payment system: the provider, the patient, or the consumer-driven health plan itself. Use at least five (5) current references. Three of these references must be from current peer-reviewed sources to support and substantiate your comments and perspectives. Propose who bears the financial risk of a capitation payment system: the provider, the patient, or the consumer-driven health plan itself. Use at least five (5) current references. Three of these references must be from current peer-reviewed sources to support and substantiate your comments and perspectives.Explanation / Answer
Capitation system are used by managed care organizations to control health care costa.Capitation payments conteol use of health care resources by putting the physician at financial risk for services provided to patients.In order to ensure that patient donot receive suboptimal care through utilization of health care services,managed care organizations measure rates of resource utilization in physician practices.These reports are made available to the public as a measure of health care quality,and can be linked to financial rewarda,such as bonuses.
Capitation is a fixed amount of money per patient per unit of time paid in advance to the physician for the delivery of health care services.The actual amount of money paid ia determined by the ranges of services that are provided,the number of patienta involved,and the period of time during which the services are provided.Capitation rates are developed using local costs and average utilization of services and can vary.Hence all are included in the system
Example
Kingston is working to make healthcare more affordable,accessible, and high quality for the people of this state.It is important for everyone to have healthcare coverage.Kingston has an extensive program for all individuals to obtain coverage Healthcare is important to everyone because people never know when an unexpected illness or injury can happen and without coverage people can drain your savings.Another reason people need to obtain healthcare coverage is for high medical bills which can lead to more illness.In this paper I jave analyzed the current health care delivert system in state of Kingston,annalyzed the main competitive forcws in the Kingston delivery process,evaluated the positive and negative benefits of HMO managed care,assessed the efficiency of the types of economic incentives to providers and proposed who bears financial risk of a capitation payment system
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