What type of reimbursement is characterized by payments made for each episode of care?

Prepare for the HCQM Case Management Test. Study with interactive flashcards and multiple-choice questions, each with detailed hints and explanations. Ace your exam confidently!

The concept of reimbursement characterized by payments made for each episode of care aligns most closely with a fee-for-service model. In this model, healthcare providers receive payment for each individual service rendered to a patient. This approach incentivizes providers to deliver more services, as their payment is directly tied to the volume of care provided.

Capitated payment, on the other hand, involves a fixed amount of money paid to a provider to cover a defined set of services for a patient over a specified time frame, regardless of the number of services delivered. This model emphasizes managing care for a population rather than billing for each individual service.

Understanding the distinction between fee-for-service and capitated payment is crucial in grasping how payment systems influence healthcare delivery and provider behavior. Fee-for-service models can lead to increased service utilization, while capitated payment emphasizes cost control and efficient resource use.

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