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In healthcare pricing strategies, capitation is used by organizations and is a fixed amount of money per patient per unit of time for the delivery of health care services. The actual amount of money paid is determined by the ranges of services that are provided, the number of patients involved, and the period of time during which the services are provided. Capitation rates are developed using local costs and average utilization of services and therefore can vary from one region of the country to another. In many plans, a risk pool is established as a percentage of the capitation payment. Money in this risk pool is withheld from the physician until the end of the fiscal year. If the health plan does well financially, the money is paid to the physician; if the health plan does poorly, the money is kept to pay the deficit expenses.
Upon successful completion of this assignment, you will be able to:
Analyze the general factors and drivers that influence pricing in health care settings and understand how prices are set. Apply the general pricing strategies used in health care organizations and plans, and explain the differences and implications of these plans. Determine if the prices set by providers are defensible and how that impacts the health care plan contract.
Sample Solution
ost likely stored on the shelf of the trench because it was so heavy. It consisted of canned salmon, canned bully beef and canned sardines; there was a lot of food in this pack. With the Emergency Ration, it was generally used for emergencies. The Emergency Ration would consist of 3 beef cakes, bouillon powder, wheat, 3 bars of chocolate, salt and pepper. If you were issued the reserve ration you were in for some of the better food. In the Reserve Ration you would receive fresh bacon, a pound of bully beef, two cans of bread, coffee, sugar and salt. They also had the tobacco Ration; most people used cigarettes to calm themselves and for pleasure so they issued this Ration to people so they could smoke. It contained .4 ounces of tobacco and 10 cigarette rolling paper. Most of these rations were not enough to sustain them for several days but if they did have enough they were very heavy. WWII is when the food started to get a little but better. A lot of the food started to be cooked in field kitchens and started to get âfresh.â There were a lot of different ration packs during WWII. First introduced was the âA-Rationâ or âGarrison Rationâ which was usually cooked in field kitchens. It consisted of a raspberry drink, cereal, muffin, jam and peanut butter, apple, salt/pepper, and some sort of sandwich based on preference. A bit different type of ration was the âB-Rationâ which was canned food, prepared in field kitchens that had no need to be refrigerated. Another ration that the soldiers had during WWII was the âC-Ration.â Unlike the A and B Ration this one had precooked food. The âC-Rationâ consisted of one pound of meat, beans and meat, meat and potato hash, meat and vegetable stew, and bread and dessert can. It usually lasted one day. Another type of ration pack was the âK-Ration which was the ration that was designed for light infantry, tank crew, and motorcycle infantry. It was usually Emergency packaged rations. Contained a dinner, supper, and breakfast meal. It was similar to the rations of today. Individual rations for breakfast, lunch, and dinner were also available. The dinner ration was a ration obviously enough for dinner. This ration contained a pork luncheon, canned American/Swiss cheese, bacon and cheese, biscuits, malted milk Tablets, caramels, sugar/salt, cigarettes, matches, gum, and a energy drink beverage powder. The Breakfast ration was a ration designed for what people would usually eat during the 1940âs in America. It cont>
ost likely stored on the shelf of the trench because it was so heavy. It consisted of canned salmon, canned bully beef and canned sardines; there was a lot of food in this pack. With the Emergency Ration, it was generally used for emergencies. The Emergency Ration would consist of 3 beef cakes, bouillon powder, wheat, 3 bars of chocolate, salt and pepper. If you were issued the reserve ration you were in for some of the better food. In the Reserve Ration you would receive fresh bacon, a pound of bully beef, two cans of bread, coffee, sugar and salt. They also had the tobacco Ration; most people used cigarettes to calm themselves and for pleasure so they issued this Ration to people so they could smoke. It contained .4 ounces of tobacco and 10 cigarette rolling paper. Most of these rations were not enough to sustain them for several days but if they did have enough they were very heavy. WWII is when the food started to get a little but better. A lot of the food started to be cooked in field kitchens and started to get âfresh.â There were a lot of different ration packs during WWII. First introduced was the âA-Rationâ or âGarrison Rationâ which was usually cooked in field kitchens. It consisted of a raspberry drink, cereal, muffin, jam and peanut butter, apple, salt/pepper, and some sort of sandwich based on preference. A bit different type of ration was the âB-Rationâ which was canned food, prepared in field kitchens that had no need to be refrigerated. Another ration that the soldiers had during WWII was the âC-Ration.â Unlike the A and B Ration this one had precooked food. The âC-Rationâ consisted of one pound of meat, beans and meat, meat and potato hash, meat and vegetable stew, and bread and dessert can. It usually lasted one day. Another type of ration pack was the âK-Ration which was the ration that was designed for light infantry, tank crew, and motorcycle infantry. It was usually Emergency packaged rations. Contained a dinner, supper, and breakfast meal. It was similar to the rations of today. Individual rations for breakfast, lunch, and dinner were also available. The dinner ration was a ration obviously enough for dinner. This ration contained a pork luncheon, canned American/Swiss cheese, bacon and cheese, biscuits, malted milk Tablets, caramels, sugar/salt, cigarettes, matches, gum, and a energy drink beverage powder. The Breakfast ration was a ration designed for what people would usually eat during the 1940âs in America. It cont>
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