capitation definition medical
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Glossary Capitation: a physician gets paid a specified dollar amount, for a given time period, to take care of the medical needs of a specified group of people. Often used in Health Maintenance Organization (HMO) Insurance Plans and became prominent in the 1980s and 90s. For example,
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Capitation Models There are basically two kinds of capitation models: “Global Capitation” and “Partial” or “Blended Capitation”. Each can be applied in various scenarios. Under global capitation, whole networks of hospitals and physicians band together to receive single fixed monthly payments for enrolled health plan members.
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Average Out-of-Pocket Costs For Common Services Average Out-of-Pocket Costs For Common Services. This site gives you an estimate of your out of pocket expenses for hospital services. Please keep in mind that your actual cost will vary depending on the available benefit in your insurance plan and services used during your visit. * * Capitation (Cap): Capitation is a method of paying health care providers.
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- There are two areas of debate in the health care system regarding capitation. First, physicians and other providers say that capitation has inserted economic considerations into their provision of care.
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Tax A poll tax, also called a per capita tax, or capitation tax, is a tax that levies a set amount per individual. It is an example of the concept of fixed tax. One of the earliest taxes mentioned in the Bible of a half-shekel per annum from each adult Jew (Ex. 30:11–16) was a form of poll tax.
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- Old Medical Terminology. Ablepsy-Blindness Ague-Malarial Fever American plague-Yellow fever Anasarca-Generalized massive edema Aphonia-Laryngitis Aphtha-The infant disease thrush Apoplexy-Paralysis due to stroke Asphycsia/Asphicsia-Cyanotic and lack of oxygen Atrophy-Wasting away or diminishing in size.ecrosis-Mortification of bones or tissue Nephrosis-Kidney degeneration Nepritis-Inflammation of kidneys Nervous prostration-Extreme exhaustion from inability to control physical and mental activities Neuralgia-Described as discomfort, such as Headache was neuralgia in head Nostalgia-Homesickness.
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- Medical Definition of OLIGURIA. : reduced excretion of urine.
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- Top 10 unbelievable historical concurrencies. Decortication is a term which is used to refer to the removal of a rind or peel. In a medical context, the term means removing the fibrous outer layer of tissue which covers an organ.
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Basic Health Insurance Definitions payment obligations on the part of a patient, provider of services, or the insurance company. Capitation A payment system in which health care providers (physicians, hospitals, pharmacists, etc.) receive a fixed payment per member per month (or year), regardless. of how many or few services the patient uses.
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Capitation (healthcare) This article is about capitation in the context of healthcare. For capitation fees more generally, see Capitation fee. This article has multiple issues. Please help improve it or discuss these issues on the talk page.
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- Confidence votes 41. In medical context; exacerbation means a period when a chronic illness becomes more active and there is a recurrence of pronounced signs and symptoms of the disease. it comes with other terminologies such as Remission and progressive degenaration and it falls under chronic illnesses category.onfidence votes 41. In medical context; exacerbation means a period when a chronic illness becomes more active and there is a recurrence of pronounced signs and symptoms of the disease. it comes with other terminologies such as Remission and progressive degenaration and it falls under chronic illnesses category.
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What can cause slow acceleration? Too much fuel or too little fuel getting to the combustion chambers which can be a mechanical kind of problem like a fuel leak. worn plugs or a engine management control problem like an oxygen sensor or a throttle position sensor.
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capitation 2. capitation payment is made on the basis of the number of members each month.
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What does 'Per Capita' mean DEFINITION of 'Per Capita'. A Latin term that translates into by head, basically meaning average per person.. Per capita can take the place of saying per person in any number of statistical observances.In most cases the term is used in relation to economic data or reporting, but can also be used in most any other occurrence of population description.Next Up.n this case, the per capita income, or average income per person, would be equal to approximately $48,000. National economic indicators such as GDP or GNP are typically quoted on a per capita basis when presented in the media.
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- Per capita is a Latin term that roughly translates as by heads. This may be better understood as per person or per individual unit, and it usually refers to a group of people and some form of income either earned or spent.er capita takes individuals or groups of individuals and creates averages or means for things like income. Combining salaries is one way of averaging a city's per capita income.
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fenestration Medical Definition of FENESTRATION. 1. a: a natural or surgically created opening in a surface b: the presence of such openings. 2. : the operation of cutting an opening in the bony labyrinth between the inner ear and tympanum to replace natural fenestrae that are not functional.. a: a natural or surgically created opening in a surface b: the presence of such openings. 2. : the operation of cutting an opening in the bony labyrinth between the inner ear and tympanum to replace natural fenestrae that are not functional.
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- Given that the majority of individuals enrolled in a health plan will never use health care services within any given month, capitation arrangements should naturally 'balance out' the 'high utilizers' of health care in health plans with those enrolled members who use little or no health care every month.
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capitation a payment method for health care services. The physician, hospital, or other health care provider is paid a contracted rate for each member assigned, referred to as per-member-per-month rate, regardless of the number or nature of services provided. The contractual rates are usually adjusted for age, gender, illness, and regional differences.
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- Medicaid managed care. Medicaid managed care Medicaid and additional services in the United States through an arrangement between a state Medicaid agency and managed care organizations (MCOs) that accept a set payment – “capitation” – for these services. The State pays the MCO a monthly premium to cover the services provided to a beneficiary.
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modification Medical Definition of modification. 1  1: the act or result of modifying something. 2  2: a change in an organism that is not inherited and that is caused by the influence of its environment.
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- Managed-care tools, such as capitation and financial incentives that are given to doctors to limit such activities as the number of tests they order, have had mixed results in controlling the supply side of health care, experts said.
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- These insurance plans, also known as capitation plans, operate like their medical HMO cousins. This type of dental plan provides a comprehensive dental care to enrolled patients through designated provider office (dentist). A Dental Health Maintenance Organization (DHMO) is a common example of a capitation plan.
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What is 'Capitated Contract ' DEFINITION of 'Capitated Contract '. A healthcare plan that allows payment of a flat fee for each patient it covers. Under a capitation, an HMO or managed care organization pays a fixed amount of money for its members to the health care provider. Also referred to as capitation agreement, capitation contract and managed care capitated contracts.
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carve-out A program that excludes certain services—usually from an organization's capitated rate—and tends to focus on one disease in depth. 2. An arrangement in which some benefits–eg mental health are removed from coverage provided by an insurance plan, but are provided through a contract with a separate set of providers.
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Diet Soda vs. Regular Soda: Is One Worse For You Than The Other? Most people are aware that both regular and diet soda are bad for your health, but when it comes to which is worse, things get a bit tricky. The truth is they are both pretty unhealthy in their own separate ways.
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- Medical Definition of ACCRETION. : the process of growth or enlargement; especially: increase by external addition or accumulation (as by adhesion of external parts or particles)—compare apposition 1, intussusception 2. — ac·cre·tion·ary \-shə-ˌner-ē\ adjective.