Is Paying Physicians By Capitation Wrong?; The concerns of Oregon anti-capitation crusader Gordon Miller draw a surprising degree of sympathy from managed care experts.

In competitive managed care arenas, the choice of accepting a capitation is not as difficult as obtaining the opportunity.

Both the general approach for entering into a managed care contract and the subject of capitation are presented.

OHP capitation rates, per capita cost reports ... These reports outline the capitation rates to be paid to contracting managed care organizations under the Oregon Health Plan Medicaid Demonstration.

Currently, managed care has had little experience with capitation payments for chronically ill patients, who consume large financial and physical resources.

So two years ago, the state switched to a system called capitation, where the state pays a set amount per Medicaid recipient to contractors who decide which services the patients need.

Most also used profiling of utilization patterns (79%), guidelines (70%), and managed care education (69%). Most physician groups asked gatekeepers to submit preauthorization requests for...

Most also used profiling of utilization patterns (79%), guidelines (70%), and managed care education (69%). Most physician groups asked gatekeepers to submit preauthorization requests for...

As managed care expands, physicians in other states will probably face the challenge of capitation and will respond with utilization management strategies.

eCampus.com: Managed Care and Capitation: Issues in Nursing Practice: Britt, Teri: 9781558101418: $7.00: : ... Capitation Within a Managed Care Context