Please help with the following problem. Include at least one reference as part of the solution.
What is the difference between capitation and fee for service (FFS)? Describe the type of market appropriate for each reimbursement method. Support your answer by providing an example of a managed care organization using either of these methods.© BrainMass Inc. brainmass.com October 25, 2018, 8:12 am ad1c9bdddf
A capitation plan typically pays a physician or practice a flat fee for each patient enrolled. A physician may receive the same fee each month, regardless of whether each patient was seen or not. In this type of arrangement the physician assumes some of the risk, as patient demand for care may increase or health epidemics within a community may increase demand for physician care of enrolled patients. In a fee for service plan the physician is reimbursed a specific rate for each patient visit (Quinn, 1998). There is less risk to the physician for this type of plan.
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The following posting helps with compensation and reimbursement plans.
Streamlining Employee Reimbursements
Using the project you created in Unit 1 Individual Assignment (Streamlining Employee Reimbursements), put together a proposal for the customer that includes the following:
Briefly describe the first five points of the Project Scope Checklist in relation to your project:
What are the project objectives?
List the deliverables.
Identify the milestones of the project.
List the technical requirements.
What are the limits and exclusions?
Be sure to complete the following items:
Identify the Project Priorities.
Create a Work Breakdown Structure.
Create a Responsibility Matrix.