10 December 2014

Capitation - a new model to enable integrated care

Capitation: a potential new payment model to enable integrated care
Monitor 26 November 2014
  • "A 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 (LTCs), across different care settings."p3
  • This 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.