Health plans may use different capitation arrangements for different levels of service. One typical capitation arrangement provides a capitation payment that may include primary care only, or both primary and secondary care, but not ancillary services. This type of capitation arrangement is known as a:

Question

Health plans may use different capitation arrangements for different levels of service. One typical capitation arrangement provides a capitation payment that may include primary care only, or both primary and secondary care, but not ancillary services.  This type of capitation arrangement is known as a:

Quizplus · Accepted Answer

A partial capitation arrangement provides a capitation payment that may include primary care only, or both primary and secondary care, but not ancillary services. This type of capitation arrangement is different from a global capitation arrangement, which includes all levels of service, and a gatekeeper arrangement, which requires patients to seek all services through a primary care provider. A carve-out arrangement is when a health plan contractually separates certain services from the capitation payment and pays for them separately.

Health Plans May Use Different Capitation Arrangements for Different Levels