Many healthcare organizations have shifted to value-based payment models, with more than half of healthcare payments in 2023 being part of this system. Capitation, a payment model where providers receive a fixed fee per patient, is playing a significant role in this transformation by incentivizing preventive care and reducing unnecessary costs. The Centers for Medicare and Medicaid Services (CMS) are working towards having all Medicare beneficiaries in a care relationship with quality and cost accountability by 2030. Implementing capitation requires efficient payment technology to overcome challenges such as limited predictive capabilities, reimbursement delays, and financial blind spots. Integrated technology solutions can streamline capitation management and improve financial sustainability in value-based care.
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Capitation Technology Drives Financial Viability in Value-Based Care Models
