A capitation primer for pediatricians.
This paper discusses the basic issues involved in capitation contracting for pediatricians. We provide a blueprint for analyzing capitation arrangements. We begin by reviewing the basic concepts of capitation. We then discuss contract features, underwriting and pricing risks, administration, risk assessment and management, and finally quality of care considerations.
Wilson
D
D
APEX Management Group, Princeton, NJ 08540, USA.
Birnbaum
R
R
D002204:Capitation Fee; D006279:Health Maintenance Organizations / Q000191:economics*; D006801:Humans; D010372:Pediatrics / Q000191:economics*; D011320:Primary Health Care / Q000191:economics*; D012308:Risk Management; D014481:United States