Developing Capitated Rates for Health Plans

Thoroughly understanding how to develop capitated rates will ensure that your clinical services deliver outcomes-based care and provide the necessary revisions needed for billing, financial reporting and data tracking are made to fit this new payment model. This session will provide attendees with a guide to developing and managing a successful capitated rate payment model and will include:

• The drivers of the move to capitated rates and other value-based reimbursement models
• A guide to developing a capitated rate proposal and preparing your organization for managing case rate contracts
• Examples of successful capitated rate contracting models