title: Multispecialty group struggles to fund programs developed under capitation as patients shift to FFS.
abstract: A decline in capitation revenue the past five years has put Palo Alto Medical Foundation in a difficult bind. How can it pay for preventive care services that contain costs, improve health, and increase efficiency if no one will reimburse the group for it? See how they are coping.
mesh_terms: D002140:California; D002204:Capitation Fee; D003363:Cost Control; D019468:Disease Management; D004470:Economics, Medical; D018588:Fee-for-Service Plans; D006123:Group Practice / Q000191:economics* / Q000458:organization & administration; D011314:Preventive Health Services / Q000191:economics*; D013038:Specialization