Capitation means the reimbursement arrangement in which a fixed rate of payment per Enrollee per month is made to the Contractor for the performance of all of the Contractor’s duties and obligations pursuant to this Contract.
Capitation means a mechanism of payment in which a provider
Capitation means a uniform prepayment fee per Member per month, adjusted by age-sex, based on the Benefit Agreement issued to each Subscriber and the services due thereunder.
Examples of Capitation in a sentence
Capitation rates can be prospectively and retrospectively adjusted.
Capitation rates for the OhioRISE Program are anticipated to include a risk corridor as a shared risk mitigation mechanism.
More Definitions of Capitation
Capitation or “Capitation Payment” means the HIPAA 820 Premium Payment paid to MCOs, PAHPs, PACE organizations, and the NEMT broker.
Capitation means the reimbursement arrangement in which a fixed rate of payment per Enrollee per month is made, regardless of whether the Enrollee receives Covered Services in that month, to Contractor for the performance of all of Contractor’s duties and responsibilities pursuant to the Contract.
Capitation means a method of compensating a
Capitation means a method of payment in which HMO or a health care provider receives a fixed amount of money each month for each enrolled Member, regardless of the amount of covered services used by the enrolled Member.
Capitation means a per Member fixed fee amount that may be paid by Wellmark on behalf of Account to certain health care providers each month for certain Covered Services that may be provided to a Member. The Capitation amount may change during the term of this Agreement in accordance with agreements between Wellmark and the providers regarding payment and the scope of capitated services.
Capitation means the mandatory administration fee included in a membership category.