As the healthcare industry continues to move towards value-based care, more managed care organizations are using capitation reimbursement models to ensure quality of care and manage cost. Compared to ...

At the heart of the problem in healthcare today is the nation’s current payment methodology, called fee-for-service. In the United States, patients aren’t getting what they pay for. Not even close.

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 ...

When I began this blog series in February, I explained how Catalyst for Payment Reform (CPR) views different payment reform models along a continuum of financial risk. Thus far, we have used this ...

More providers are thinking of switching to capitation payments in light of the COVID-19 pandemic. However, the decision should not be taken lightly; provider organizations need to consider the major ...

Over the past several years, the big trend in healthcare has been to inch away from fee-for-service reimbursement and toward value-based care, in which a provider's reimbursement is tied more to ...

Critics of global capitation say it represents too much risk for providers. But four panelists at the 5th Annual Pay for Performance Summit held here in March say they have had success with this ...

“Americans know too little about the implementation of market-reform strategies in other countries,” says Alain Enthoven, whose work on managed competition has formed the underpinnings of the most ...

Herzlinger, Regina E., and Tom Nagle. "Note on Reimbursement of Health Care Providers: Case-Based and Capitation Payment." Harvard Business School Background Note 194-141, May 1994. (Revised February ...

Researchers from National Taiwan University Detail Findings in Managed Care (Half-Managed Care: A Preliminary Assessment of a Capitation Program in a Health Care System Without Gatekeepers) According ...