Capitation and the Medicare program: history, issues, and evidence.
This article reviews the history of capitation in the Medicare program and examines issues and research findings related to Medicare capitation. Specific capitation issues and related research findings reviewed include: the feasibility and extent of health maintenance organization participation in Medicare; plan marketing; beneficiary choice behavior; quality of care; and the use and cost of services. In addition, areas requiring further study are noted, and the potential for extensions of capitation under Medicare are explored.
D000368:Aged; D002204:Capitation Fee; D014487:Centers for Medicare and Medicaid Services, U.S.; D002755:Choice Behavior; D003625:Data Collection; D005069:Evaluation Studies as Topic; D005249:Fees and Charges; D006279:Health Maintenance Organizations / Q000706:statistics & numerical data*; D006801:Humans; D006278:Medicare / Q000639:trends*; D010865:Pilot Projects; D012306:Risk; D013659:Tax Equity and Fiscal Responsibility Act; D014481:United States