Capitated fee

Term · Insurance and risk management · MLC-T-INS-000679

A fixed payment made periodically by an insurer or health maintenance organization (HMO) to a healthcare provider for each patient enrolled under their care, regardless of the number or cost of services rendered. This payment model shifts financial risk to the provider, incentivizing efficient and preventive care. It is common in managed care plans.

Table 1. Record
Identifier	MLC-T-INS-000679
Field	Insurance and risk management

Record as JSON

{
  "id": "MLC-T-INS-000679",
  "term": "Capitated fee",
  "field": "Insurance and risk management",
  "definition": "A fixed payment made periodically by an insurer or health maintenance organization (HMO) to a healthcare provider for each patient enrolled under their care, regardless of the number or cost of services rendered. This payment model shifts financial risk to the provider, incentivizing efficient and preventive care. It is common in managed care plans.",
  "url": "https://mlchart.com/terminology/insurance/capitated-fee/"
}

Record 458 of 3,748 in Insurance and risk management terminology (MLC-0106). Request the full dataset.