Capitated payments rely on strict reimbursement guidelines that help payers cut back on their costs and promote value-based care solutions.

The challenges of lowering care costs and improving healthcare quality may lead payers to consider the use of capitated payments as part of their value-based payment model strategies.

Capitated payments are pre-arranged payments for healthcare providers to deliver services on a per member per month (PMPM) basis.  Providers are paid a set amount for each patient they see, regardless of the costs each individual actually incurs.   ….more