Managed Care

Among Medicare HMOs, Capitation's the Way






















Any way you cut the numbers, capitation is the most prevalent form of payment by Medicare HMOs for both primary care physicians and specialists. Almost 8 in 10 primary care physicians who contract with Medicare HMOs receive at least some compensation via capitation; as for HMOs, 85 percent pay primary care physicians either exclusively through capitation, or by a combination of capitation and other payment systems.

SOURCE: HMO INDUSTRY REPORT 9.2, INTERSTUDY PUBLICATIONS, MINNEAPOLIS, 1999

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