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Re: OT: capitation (was Re: Occupancy and Security PIR - Suggestions?)
At least around here, the use of capitation as a payment method is waning.
Most physician contracts for HMO's have gone back to "fee for service"
(i.e., time and materials). However, capitation is still very prevalent in
the dental world.
As a patient, you don't want your doctor to be capitated for *your* care.
There is actually a financial *disincentive* for them to treat you. "Fee for
service" is the flip side of that. They have a financial *incentive* in
treating you. Quite frankly, when it comes to my healthcare, I'd prefer the
later.
In general, people have no idea how healthcare in this country works, how
insurance works, or how their doctor gets paid (or doesn't, these days).
Like using some companies for your security... Ignorance is bliss, right?
God help us if we ever move to nationalized healthcare. Medicare and
Medicaid are already big messes, but a good portion of the populace don't
understand that. I challenge anybody to name one main-stream federal program
that is more cost effective and efficient than the private sector.
Nationalized healthcare is going to be any different? You're foolish if you
believe that.
Eric
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