Does paying doctors and provider organizations a fixed budget to cover a group of patients cause them to withhold some care so they won’t lose money?
Debate Question:This is what a short summary question would look like.
An alternative to paying providers a fee for each test or procedure performed is to pay a fixed amount for a doctor or health system to care for a specified patient population (“capitation”). Such payment systems gradually have been replacing fee-for-service (FFS) methods through managed care organizations, accountable care organizations, and other entities. Organizations that spend less than expected on patient care will make more profit or surplus, while those with higher treatment expenses will make less money.