Question

A nurse working in a primary care facility prepares insurance forms in which the provider is given a fixed amount per enrollee of the health plan. What is the term for this type of reimbursement?

1) Capitation
2) Prospective payment system
3) Bundled payment
4) Rate setting

Answer 1

The term for this type of reimbursement is capitation.

Step-by-step explanation:

The term for this type of reimbursement is capitation. In a capitation reimbursement system, the provider is given a fixed amount per enrollee of the health plan, regardless of the cost of services provided. This method incentivizes the provider to manage resources efficiently and provide necessary care within the fixed payment.