Cawley K
Mich Med. 1996 Sep;95(9):30-2.
This article is the first of a two-part series designed to provide Michigan physicians with a conceptual framework to approaching capitation. Capitation in financing consists of prepaid risk transfers from insurers to providers for cost and utilization of services. Unfortunately, a number of physician practices are searching for a starting point on capitation processes in these evolving times. The focus of this first article is on primary and specialty subcapitation. Global capitation will be covered in a second article.
本文是一个系列文章的第一篇，该系列共两篇，旨在为密歇根州的医生提供一个应对按人头付费的概念框架。融资中的按人头付费包括保险公司向医疗服务提供者进行的预付费风险转移，以覆盖服务成本和使用情况。不幸的是，在这个不断发展的时代，许多医生业务正在寻找按人头付费流程的起点。第一篇文章的重点是初级医疗和专科亚人头付费。第二篇文章将涵盖全球人头付费。
