Question

Assignment 7 1. Is healthcare deliver reactive or proactive? Explain. 2. What is the role of epidemiology in finance? 3. What is capitation? In your answer, include the basics as well as risk adjustment 4. How are capitation rates adjusted? 5. What is pay for performance? Does it work? Why or why not?

Answer 1

1, It is proactive. because the health care system has a sense of action for symptoms occurs. when people taking initiatives proactively to manage their health as self-care it prevents disease early and improves health care.
2, Epidemiology is a study of disease in populations it is used to identify their risk factors. public health needs should be proactive for planning with economic constraints within the population. economic burden makes the population become proactive. financial conditions should be monitored closely for adopting epidemiological public health.
3, Capitation is a health care payment system for doctors or hospitals in a fixed amount per patient within their fixed period of time allowed by an insurer.
Risk adjustment capitation payment will not vary by insurer. it is subsidy per person for their payment equal to predicted per capita costs for risk group and individual based on their health condition.
4, Capitation rates adjusted as per risk of person, age, health status, health care utilization within the family physician-patient population. Risk adjustment significantly increases with utilization by capitated payment for primary care services.