Results 11 to 20 of about 8,117 (202)

A game theoretic setting of capitation versus fee-for-service payment systems.

PLoS ONE, 2019
We aim to determine whether a game-theoretic model between an insurer and a healthcare practice yields a predictive equilibrium that incentivizes either player to deviate from a fee-for-service to capitation payment system.
Allison Koenecke
doaj   +2 more sources

ANALYSIS OF MANAGEMENT AND UTILIZATION OF CAPITATION FUND DENTISTS IN THE CITY OF PALEMBANG AND LUBUKLINGGAU

The Indonesian Journal of Public Health, 2020
Primary dentists at the era of the National Health Insurance are only paid IDR2,000 each patient. The Capitation funds can not cover the cost of services that must be spent.
Faiznur Ridho, Bambang B. Soebyakto, Haerawati Idris   +2 more
doaj   +2 more sources

Effect of capitation payment method on health outcomes, healthcare utilization, and referrals in Ghana.

PLOS Global Public Health
Different provider payment systems generate different incentives for patients, providers, and purchasers. Ghana introduced the National Health Insurance Scheme (NHIS) in 2003 and has made reforms to its provider payment methods to create incentives in ...
Micheal Kofi Boachie, Eugenia Amporfu
doaj   +2 more sources

Fee-for-Service Payment – An Evil Practice that Must be Stamped Out? [PDF]

International Journal of Health Policy and Management, 2015
Co-opting physicians to regulate Fee-for-Service (FFS) payment is more feasible and simpler to administer than capitation, Diagnosis-Related Groups (DRGs) and pay-for-performance.
Naoki Ikegami
doaj   +1 more source

Impact of changing provider remuneration on NHS general dental practitioner services in Northern Ireland: a mixed-methods study

Health Services and Delivery Research, 2020
Background: Policy-makers wanted to reform the NHS dental contract in Northern Ireland to contain costs, secure access and incentivise prevention and quality.
Paul Brocklehurst, Martin Tickle, Stephen Birch, Ruth McDonald, Tanya Walsh, Tom Lloyd Goodwin, Harry Hill, Elizabeth Howarth, Michael Donaldson, Donncha O’Carolan, Sandy Fitzpatrick, Gillian McCrory, Carolyn Slee   +12 more
doaj   +1 more source

List size disequilibria and service provision in general practice

Nordic Journal of Health Economics, 2023
: Several Nordic countries remunerate general practice by a mix of capitation and fee-for-service. From the literature we know that capitation-based payments come with a risk of undersupply of services, whereas fee-for-service comes with a risk of ...
Kim Rose Olsen
doaj   +1 more source

Comparative Ethics of Modern Payment Models

Voices in Bioethics, 2023
Photo by Marek Studzinski on Unsplash ABSTRACT Payment models directly impact the way patients experience care. Historically, payment model innovations have been examined mostly from economic, organizational, and public health lenses.
Jacob Riegler
doaj   +5 more sources

Capitation care fee banding:aspects of reliability and validity of an online tool [PDF]

, 2018
AimTo investigate aspects of reliability and validity of Denplan/Previser Patient Assessment (DEPPA) capitation fee code guidance through a population study and to discuss some of the practicalities of effective capitation funding.MethodsA form of 'test ...
H. Clover, Chapple, Liz, L. Chapple, J. McCreanor, Busby, Michael, M. Busby, Chapple, Iain; id_orcid, McCreanor, John, I. Chapple, Clover, Henry   +9 more
core   +1 more source

The capitation study. 1. Does capitation encourage "supervised neglect'?

, 1990
Four matched pairs of geographically and socially contrasting areas of Britain were randomly allocated within pairs to either a capitation or fee-for-service payment system for the dental care of children in a 3-year clinical trial.
Mellor, A. C., Coventry, P., Holloway, P. J., Worthington, H. V.; id_orcid, Lennon, M. A.   +4 more
core   +3 more sources

Health care purchasing in Kenya: Experiences of health care providers with capitation and fee-for-service provider payment mechanisms.

, 2018
BACKGROUND: Provider payment mechanisms (PPMs) play a critical role in universal health coverage due to the incentives they create for health care providers to deliver needed services, quality, and efficiency.
Chuma, J, Kazungu, J, Barasa, Edwine, Obadha, Melvin   +3 more
core   +3 more sources