Health Economics Discussion question
"Capitation, Payers, and Provider Behavior" Please respond to the following:
- Suggest at least one (1) method by which capitation rates are
set for health maintenance organizations in Medicare. Provide one (1)
example of an HMO with these types of set rates in order to support your
response.
- Compare the primary available economic resources that
health insurance payers may use to monitor, assess, and regulate health
care providers’ behavior. Evaluate the degree to which alternative
provider payment methods (e.g., capitation, pay for performance, etc.)
impact HMO economic and business performance. Provide one (1) example of
such a type of method to support your response.
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