Auditors say the increase coincided with an overall increase in Medicaid enrollment during the first year of the pandemic. The value of improper Medicaid capitation payments made by states to managed ...

The California Department of Health Care Services agrees with the audit findings. Federal watchdogs are asking Medi-Cal to refund $15.7 million in unallowable capitation payments made to managed care ...

Health care organizations are grappling with a new CMS plan to realign payment along episodes of care. California's experience with capitation and other payment models will give state providers a ...

MassHealth errantly paid more than $84 million related to care for residents who were living in other states, Auditor Diana DiZoglio’s office concluded in a new report that the executive branch ...

A 13-year study of actual compensation amounts and rates paid to solo general dentists by a capitation or managed care type of insurance plan. The article first reports and then analyzes the ...

While capitation never disappeared, its heyday ended more than a decade ago--or so most hospitals thought. Pennsylvania's largest health insurer, Pittsburgh-based Highmark Inc., could be in the ...

o understand the primary care capitation model, it is crucial to first understand what primary care is. It is not a new concept. We have already heard of the commitments of health for all and leave no ...