MedCity News July 3, 2024
David L. Morris

Finding a payment technology solution that is specifically designed for alternative payment models like capitation helps payers and providers achieve financial sustainability in a value-based system.

Many healthcare delivery organizations have adopted some form of value-based payment model in recent years, shifting the healthcare focus from quantity of services to quality of outcomes. In a promising trend for healthcare overall, more than half of healthcare payments in 2023 were part of a value-based care reimbursement model. Capitation – which provides a set fee per patient for a defined period – is one of the payment models playing a big role in this transformation. By giving providers a fixed budget, capitation incentivizes preventive care, effective chronic condition management, and ultimately can...

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Topics: Insurance, Payer, Payment Models, Provider, Value Based
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