Health Maintenance Organizations

Risk-Based Reimbursement

For your assignment, a primary care physician is often reimbursed by Health Maintenance Organizations (HMOs) via capitation, fee-for-service, relative value scale, or salary. Capitation is considered as a risk based compensation.

In an effort to understand the intricacies involved with physician reimbursement, particularly in an era of health care reform, identify and interview an expert in the field, such as:

Hospital Administrator
Managed Care Organization (MCO) executive
Health care Consultant
Legal Professional
Assumption: MCOs use risk-based reimbursement for primary care physicians.

Ask the following questions in the interview:For more information on Health Maintenance Organizations read :https://en.wikipedia.org/wiki/Category:Health_maintenance_organizations