What is Capitation?

Category: Healthcare

1Definition

A payment model where healthcare providers receive a fixed amount per patient per period, regardless of services used.

2Context

Incentivizes preventive care since providers profit by keeping patients healthy. Common in HMOs.

3Example

A primary care doctor receives $50/month per patient. If the patient stays healthy, the doctor keeps the full amount.

Common Trap

Capitation doesn't mean doctors are paid poorly—it means they're paid per patient, not per service.

Related Terms

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