Evaluating the Feasibility of Accepting a Capitation Payment for People with HIV or AIDS
- EBNHC Medicaid Managed Care for HIV patients.pdf (0.38 Mb pdf)
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This report describes the experience of a community health center evaluating its capacity to accept capitation payments for health center patients with HIV or AIDS. The Medicaid and managed care context in which the East Boston Neighborhood Health Center HIV/AIDS program operates is examined with a description of methods used to collect cost and utilization information as well as how the information was analyzed. Options available to the EBNHC are discussed given the findings and present alternative strategies for sustainability in a managed care environment.