Capitation in IPA-HMOs. Dealing with financial risks and ethical dilemmas.
Capitation, a relatively new method of payment, is being used increasingly for primary care physicians in independent practice association (IPA) model HMOs. The author explains the actual payment method, including the various amounts withheld, and the financial risks and rewards inherent in this system. He then confronts the sensitive ethical issues posed by capitation. Finally, he offers five sound suggestions for physicians who contemplate joining an HMO that employs capitation.
D000206:Actuarial Analysis; D002204:Capitation Fee / Q000592:standards*; D004992:Ethics, Medical; D005249:Fees and Charges / Q000592:standards*; D007193:Independent Practice Associations / Q000191:economics*; D010816:Physician Incentive Plans / Q000191:economics; D011331:Private Practice / Q000191:economics*; D012306:Risk; D014481:United States