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Originally Posted by NYGUY
I believe that $10,000 per person is paid to the insurance company, in this case UHC. The question then would be how much of that does UHC kickback to TVH. Another question might be, are their additional financial incentives paid to TVH to reduce claims.
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A capitation program typically involves the sharing of a pool of funds that are set aside throughout the year. The funds can then be distributed based on criteria established in advance. Quality of care, reduction of test usage, and decreased referral to specialists (all based on data and usually evidence based medicine) are examples.
I'm more familiar with the hospital side of capitation so it would be interesting to see if GE weighs in on the doc side.
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