Provider groups, health plans use software to get accurate estimates of capitated expenses.
Information technology is improving the ability of health care organizations to predict annual expenses for groups of patients and to fairly allocate payments to providers based on health risk adjustments. Here's one capitated group's successful formula.
D001900:Boston; D002204:Capitation Fee; D003361:Cost Allocation; D019033:Delivery of Health Care, Integrated / Q000191:economics*; D003953:Diagnosis-Related Groups / Q000145:classification / Q000191:economics*; D017048:Health Care Costs; D006801:Humans; D010818:Practice Patterns, Physicians'; D011907:Rate Setting and Review; D012984:Software