Which statement is true regarding tracking insurance reimbursement under capitation?

Get ready for the CAVIT Medical Science Exam with engaging questions and detailed explanations. Boost your confidence and understanding with curated resources.

Tracking insurance reimbursement under capitation involves understanding how payments are structured. In a capitated payment model, healthcare providers receive a fixed amount of money per enrolled patient per month, regardless of how many services each patient uses during that time. This means that the payment stays constant, allowing providers to predict and manage their cash flows more effectively.

The fixed monthly payment under capitation contrasts with fee-for-service models, where payments can fluctuate significantly based on the volume and nature of services delivered. As a result, capitated systems encourage efficiency and proactive health management, as providers are incentivized to keep patients healthy and reduce unnecessary services. This set payment structure is crucial for budgeting and financial planning in healthcare organizations.

In the context of the other options: payments in a capitation model do not vary based on services provided; the financial risk is shared rather than solely shouldered by the clinic; and it is not limited to patients with specific service plans; rather, it applies to all enrolled patients under that capitation agreement.

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