Capitation Manag Rep. 1998 Nov;5(11):168-74.
This study by a San Francisco consultant suggests that provider groups can recover 10% to 15% of their capitation dollars by conducting financial recoveries in areas such as member-capitation reconciliation, claims paid on ineligible members, and duplicate claims.
旧金山一位顾问开展的这项研究表明,医疗机构通过在会员人头费核对、向不符合资格的会员支付的理赔款以及重复理赔等领域进行财务追讨,可以收回其人头费收入的10%至15%。