Explain the concept of capitation, its importance to the HMO and participating providers, and how the concept of capitation varies with the ACO model.
Evaluation of HMO Models based on Region 13

You have been presented an outstanding opportunity to serve as a graduate student intern for the chief executive officer (CEO) of a large HCO. The HCO is an HMO model and originated approximately a century ago as a small rural hospital. Due to the rural setting, the HMO model flourished and, over the years, expanded throughout the region. Today, the HMO has a presence in over eighteen counties and has a number of competing interests from for-profit and not-for-profit HCOs in the region.


 

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