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How capitated payments prompt payer, provider innovation

from HealthPayer Intelligence

The challenges of lowering care costs and improving healthcare quality may lead payers to consider the use of capitated payments as part of their value-based payment model strategies. Capitated payments are pre-arranged payments for healthcare providers to deliver services on a per member per month (PMPM) basis. Providers are paid a set amount for each patient they see, regardless of the costs each individual actually incurs. more

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