Dictionary
The Dictionary provides concise definitions of health economics terms, arranged alphabetically for quick reference. Use it to understand unfamiliar terminology or confirm the meaning of a specific term.
B
- Blended PaymentMixed Payment, Hybrid Payment Model
- An arrangement combining elements of two or more payment methodologies, such as fee-for-service and capitation, to balance incentives and risk.
C
- CapitationCapitated Payment, Per-Capita Payment
- Capitation is a provider-payment method that pays a predetermined amount per enrolled or attributed person for a defined period and service package, regardless of the number of covered services that person uses during the period.
- Capitation PaymentRisk-Adjusted Capitation, Capitation Fee
- A capitation payment is a predetermined amount paid to a healthcare provider or organisation per covered person over a defined period for a specified set of services, largely independent of that person's actual service use.
- Capitation Payment SystemCapitation System, Capitated Payment System
- The overall structure governing how capitated payments are calculated and administered, covering risk adjustment, frequency, and scope of covered services.
F
- Full CapitationGlobal Capitation, Comprehensive Capitation
- A capitation arrangement in which a provider assumes complete financial risk for essentially all a patient's healthcare costs, unlike partial capitation.
P
- Partial CapitationBlended Capitation, Partial Capitated Payment
- A capitation arrangement in which a provider assumes financial risk for only a subset of services, such as primary care alone.
- Provider PaymentProvider Reimbursement, Payment Mechanism
- Provider payment refers to the methods and arrangements through which healthcare providers are paid for delivering services, including fee-for-service, capitation, bundled payments, salaries, global budgets and value-based payment.