Home > Terms > English, UK (UE) > Partial capitation
Partial capitation
A contract between a payer and a sub-capitor, provider or other payer whereby payments made are a combination of capitated premiums and fee for service payments. The proportion of the ratios determines the amount of risk. Sometimes certain outliers are paid as fee for service (difficult childbirth, cardiac care, cancer) while routine care (preventative, family, simple surgeries and common diagnoses) are capitated.
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- Part of Speech: noun
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- Industry/Domain: Health care
- Category: General
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