KapitationModelle

Kapitationsmodelle, also known as capitation models, are a payment system used in healthcare. Instead of paying providers for each individual service they deliver, a fixed amount is paid per patient, per unit of time, regardless of how many services that patient actually uses. This payment is known as a capitation rate. The primary goal of capitation is to shift the financial risk from the payer, typically an insurance company or government program, to the healthcare provider. Providers are incentivized to manage patient care efficiently and prevent unnecessary treatments, as their income is not directly tied to the volume of services rendered. This can encourage a focus on preventive care and wellness. However, concerns exist regarding potential under-treatment or cherry-picking of healthier patients to maximize profits. Kapitation models can be applied to various healthcare settings, including primary care physicians, specialists, and even entire health systems. The specific design of a capitation model can vary, with adjustments often made for patient demographics, risk factors, and geographic location to ensure fair compensation.