Wednesday, July 17, 2019
Payments Method
Fee-for-service is when a tolerant pays a fee for the run provided by a wellnesscare supplier. According to Valerius et al. (2012), the more patients a physician sees in the fee-for-service, the more charges the health plan repays (section 1. 4, p. 11). On the other hand, capitation requital cycles involve the first party, which is the patient, policyholder or employer (Valerius et al, 2012). as well the capitation payment cycle includes the second party, which is the provider and insurance specialist, as well as the third party, which is the health plan (Valerius et al, 2012). Capitation is a fixed payment method, which a certain amount of money is reimbursed to the provider for patients enrolled for a specific time frame heedless(prenominal) of the go delivered or how many use visits(Valerius et al, 2012).In this situation of capitation, the money is current before the patient even visits the office, and if the patient does not receive medical go for that specific time (V alerius et al, 2012). Furthermore, the physician agrees to choose on the risk that an insured exclusive will utilize more services than the fee covers, and use less services (Valerius et al, 2012). Nevertheless, the physician still only collects the assure vagabond, even if their expenses are higher than the rate for the time frame, and the physician risks getting less per office visit revenue.
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