Capitation
Capitation is a provider payment method paying a fixed amount per enrolled person per period for a defined package of care, whatever care each person uses.
Encyclopaedia
Explore comprehensive, evidence-informed explanations of key health economics concepts, including their development, application and relationships to other concepts. Published entries are validated through human expert review.
Concepts, entries and ontology terms
A concept page is a published entry on the wiki. Some concepts also have a full encyclopaedia article. The Health Economics Ontology (HEO) holds every concept, including dictionary terms without an article, so it is larger than the list of published pages. The knowledge graph shows how concepts relate to each other.
Capitation Payment
A capitation payment is a fixed sum paid to a health care provider for each enrolled person per month or year for an agreed package, whatever care is used.
Care Bundle
Care Bundle is a quality improvement intervention of three to five evidence-based practices given together to each eligible patient, audited all-or-none.
Care Coordination
Care coordination is the deliberate organisation of care among a patient's providers and the patient, sharing information for appropriate, efficient care.
Care Management
Care Management is planned support for high-need, high-cost patients, in which a care manager agrees a care plan and follows up to avoid costly admissions.
Care Pathway
Care pathway is the organised sequence of care for a defined patient group and period; in economic evaluation it shows where a new technology is used.
Care Transition
Care Transition is a patient's move between care settings or providers, such as hospital discharge home, a period of raised risk of harm and readmission.
Caregiver Burden
Caregiver Burden is the strain unpaid caring puts on a carer's health, time, finances and social life, a family spillover economic evaluations can count.
Caregiver Quality of Life
Caregiver Quality of Life is an unpaid carer's own health and wellbeing as affected by caring, measured in economic evaluation with EQ-5D or CarerQol.
Carer
A carer is a person, usually a family member or friend, who gives unpaid care to someone with illness, disability or frailty, unlike a paid care worker.
Carve-Out
Carve-Out is the removal of a service, such as pharmacy or behavioural health, from a health plan or payment unit so it is managed and paid for separately.
Case Complexity
Case Complexity is how demanding a patient's case is to treat, given comorbidity, illness severity and social circumstances, which drive its resource use.
Case Fatality Rate
Case fatality rate (CFR) is the proportion of people diagnosed with a disease who die of it within a defined period, a measure of severity.
Case Management
Case Management is a service in which a case manager or team assesses, plans and coordinates care for people with complex needs and high expected costs.
Case Mix
Case mix is the composition of a provider's patients by diagnosis, procedure, severity and expected resource use, usually measured with DRGs or HRGs.
Case Mix Index
Case Mix Index (CMI) is the average diagnosis-related group relative weight of a hospital's discharges, showing how resource-intensive its cases are.
Case Weight
Case weight is a relative value for a diagnosis-related group showing its expected cost against the average case, used to scale payment from a base rate.
Case-Based Payment
Case-Based Payment pays a hospital a fixed amount per treated case, set in advance for the case's group, often by diagnosis, not by the services used.
Case-Mix Adjustment
Case-mix adjustment corrects comparisons of providers' costs or outcomes for differences in the patients they treat, so that like is compared with like.
Catastrophic Health Expenditure
Catastrophic health expenditure (CHE) is out-of-pocket health spending that exceeds a set share of a household's total budget or its capacity to pay.