A health plan enters into a professional services capitation arrangement whenever the health plan:
Posted: Fri May 05, 2023 11:03 am
A 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
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