title: De-capitating managed care contracts. Some providers say global capitation has tied a noose around their finances.
abstract: Just a few years after global capitation seemed like the wave of the future, it has crashed into reality: Most of the inefficiencies have been squeezed out of the U.S. healthcare system, and capitated rates are no longer covering costs. Some HMOs are returning to older payment methods, such as per diems.
authors.forename: C
authors.initials: C
authors.lastname: Rauber
mesh_terms: D002204:Capitation Fee; D019033:Delivery of Health Care, Integrated / Q000191:economics*; D005377:Financial Management, Hospital / Q000639:trends*; D006279:Health Maintenance Organizations / Q000191:economics*; D006754:Hospital Restructuring / Q000191:economics; D020414:Risk Sharing, Financial; D014481:United States