Capitation

Capitation is a payment structure which is the opposite of traditional fee-for-service reimbursement.  In fee-for-service (FFS), a practice receives a payment for every visit to the practice a covered patient makes.  With capitation, the practice is paid a certain amount per member, per month (PMPM) regardless of how many times the patient is seen at the practice.  If a patient is seen 10 times during a month, the practice receives the same amount as if the patient is not seen at all at the practice during the month.

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Where have I been? Ten years after I started my consulting business and started blogging, in 2018 I stopped blogging when I took a very interesting interim position at the University of Washington...

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