Capitation is a health care reimbursement model in which the provider is paid a fixed amount per person regardless of the number or type of services the person requires. It has been argued that an unintended consequence of capitation contracts, which are used primarily by HMOs, is that health care providers working under them actually have an incentive to limit patient access to treatment and testing.

Capitation is usually discussed when comparing PPOs and HMOs. Fans of PPOs argue that because PPOs do not use capitation contracts, PPOs are better at meeting the needs of health care consumers.

About LifeTips

Now one of the top on-line publishers in the world, LifeTips offers tips to millions of monthly visitors. Our mission mission is to make your life smarter, better, faster and wiser. Expert writers earn dough for what they know. And exclusive sponsors in each niche topic help us make-it-all happen.

Ask a Question

Not finding the advice and tips you need on this Health Insurance Tip Site? Request a Tip Now!

Guru Spotlight

William Pirraglia

Ever wonder how you could make your life better and more fun? So have tens of millions of fans who have turned to LifeTips for answers over the past decade. We keep the tips, advice, books, podcasts and writing services flowing, so you can keep your life and business growing in the right direction. Upward!