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Specialty Managed Care Plans

… for CYSHCN . In most of these plans, special capitation rates are set, reflecting the higher costs involved in meeting … Medical Services Network, which may elect to use either capitation or a PCCM model. Arizona’s Medicaid managed care system …

Page – admin – Jan 13 2012 – 10:29am

Medicaid as a Second Language (March, 2007)

… programs for certain Medicaid beneficiaries. Capitation A fixed sum that an insurer pays to a health plan or provider … basis and regardless of the extent of services used. The capitation payment may cover all or part of the individual’s benefits, …

Page – Anonymous – Jan 9 2012 – 1:21pm

Risk Adjustment and Other Financial Protections for Children and Youth with Special Health Care Needs in Our Evolving Health Care System

… becoming insolvent if they only received an unadjusted capitation rate of $1,000/year for all of these children. Finally, to … rare, but highest cost individuals or procedures from the capitation rate and pay for these services as they occur ( carve-outs ). …

Page – Anonymous – Oct 15 2012 – 11:36am

"It’s Not Hard, It Just Takes Time"

… care plans for CYSHCN. In most of these plans, special capitation rates are set, reflecting the higher costs involved in meeting …

Page – Anonymous – Mar 27 2012 – 10:49am

Care Coordination in a Statewide System of Care: Financing Models and Payment Strategies (October, 2010)

… plan development; $Z for care coordination visit); Capitation rates (e.g., $X per child per month); Global rates (e.g., $Y …

Page – edia – Oct 12 2012 – 3:48pm

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