W 8, p2

• monthly payment made to the PCP for each patient they signed up to receive care from them
• --usually with HMO

HCP- b/c you think $250 a month sounds good if people not sick, but if group of people are really sick, you do a lot of work and still get $250

Choose healthy patients over sick ones

• Higher monthly payment for elderly patients and those w/ chronic illnesses
• But you will never know how much you will need

• Have to have a PCP
• allows for more flexibility at the practice level (virtual visits, email, phone)

• each person have PCP who receive monthly payment per capita
• specialists referrals from PCP

• health plan
• PCP

• with HMOs
• health plan pays payment and capitation rate to IPA (Independent Practice Associations) who then pays all the PCPs and specialists from there (PCP get 0.25 out of $1)

• by denying services bc more money left in pool
• Pay for performance
• ---Pay for the outcome