Week 4 Discussion – Capitation, Payers, and Provider Behavior

Please respond to the following:

• Compare primary available economic resources that health insurance payers may use to monitor, assess, and regulate health care providers’ behavior. Evaluate the degree to which alternative provider payment methods (e.g., capitation, pay for performance, et cetera.) impact HMO economic and business performance. Provide one example of such a type of method to support your response.