An health plan enters into a professional services capitation arrangement whenever the health plan
A) Contracts with a medical group, clinic, or multispecialty IPA that assumes responsibility for the costs of all physician services related to a patient's care
B) Pays individual specialists to provide only radiology services to all plan members
C) Transfers all financial risk for healthcare services to a provider organization and the provider, in turn, covers virtually all of a patient's medical expenses
D) Contracts with a primary care provider to cover primary care services only

Question

Quizplus · Accepted Answer

A professional services capitation arrangement involves the health plan contracting with a medical group, clinic, or multi-specialty IPA that assumes responsibility for the costs of all physician services related to a patient's care. This includes both primary care services and specialist services. The provider organization receives a fixed payment per patient per month and assumes the financial risk for providing all necessary services.

An Health Plan Enters into a Professional Services Capitation Arrangement