Monitor 26 November 2014
- This document explains how NHS providers and commissioners can use capitated payment arrangements to support local service improvement and reconfiguration as permitted under the Health and Social Care Act 2012.
- The document describes:
- what is driving the need for more integrated care
- the benefits of capitation for patients and local care economies
- its potential risks and how to mitigate them
- the steps involved in designing capitated payment for a local integrated care
- initiative that fits within current payment rules
- key factors for enabling it to achieve anticipated benefits
- methods for evaluating its impact.
- Capitated payment or capitation means paying a provider or group of providers to cover the majority (or all) of the care provided to a target population, such as patients with multiple long term conditions, across different care settings. The regular payments are calculated as a lump sum per patient.
