Everything you ever wanted to know about capitation analysis but were afraid to ask.
Prepaid health plans need capitation analysis to predict costs and set premium rates. Capitation analysis allows health plans to identify the source of cost overruns, set utilization targets, and structure risk arrangements. In this article, the author explains the role of capitation analysis in today's managed care environment.
Medical Affairs of Pilgrim Health Care, Norwell, MA 02061.
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D000206:Actuarial Analysis; D000367:Age Factors; D002204:Capitation Fee / Q000458:organization & administration*; D003365:Costs and Cost Analysis; D006801:Humans; D017061:Prepaid Health Plans / Q000191:economics*; D011907:Rate Setting and Review / Q000379:methods*; D012737:Sex Factors; D014481:United States