Network Management

Partial capitation is one common approach to capitation. One typical characteristic of partial capitation is that it:

Under the compensation arrangement that the Falcon Health Plan has with some of its providers, Falcon holds back 10% of the negotiated payments to these provide...

A provider group purchased from an insurer individual stop-loss coverage for primary and specialty care services with an $8,000 attachment point and 10% coinsur...

The Foxfire Health Plan, which has 20,000 members, contracts with dermatologists on a contact capitation basis. The contact capitation arrangement has the follo...

The following statement(s) can correctly be made about contracting and reimbursement of specialty care physicians (SCPs):