Question

chapter 16 quizlet the type of insurance plan in which physcians may have a financial incentives to order more tests and treatments for their patients is a

Answer 1

A capitated contract is a healthcare plan that allows payment of a flat fee for each patient it covers. Under a capitated contract, an HMO or managed care organization pays a fixed amount of money for its members to the health care provider.

What Is a Capitation Agreement?

A capitation agreement is an actual contract between the HMO or IPA and the medical provider or doctor. This agreement lays out the details and expectations between the two, including the fixed amount of money (fee) to be paid to the health care provider. There are three main kinds of capitation models: primary care, secondary care, and global capitation.

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