Question

Wallace Whitfiled is a 45-year-old male who has had a bulge in his abdomen for six months. He has an appointment with Dr. Smith today, but this is his 3rd time being seen by Dr. Smith and Wallace does not feel that his complaint has been fully investigated. Dr. Smith always rushes through his visit with Wallace, as Dr. Smith is seeing five to six patients an hour. Wallace is upset because he feels Dr. Smith is making more money by providing less care. In what type of reimbursement methodology could this occur?

Answer 1

Answer:

Capitation

Explanation:

Capitation payment is simply a type of payments. It is usually made to physicians on normal days that is regular basis (such as monthly) for healthcare services that was provided to patients in a managed care insurance plan.

Capitation is known to be a fixed amount that is paid to a provider to provide medically necessary services to patients.it is a system of reimbursement in which physician receives a fixed or certain amount of money for each patient enrolled in their (his/her) practice during a specified time period mostly a year sometimes. Its types includes; Full risk capitation, Professional risk capitation, Primary care capitation and Speciality capitation.