What Is Capitation?

Capitation is the fixed, per-person payment a provider receives in a capitated payment model. Think of it as a flat monthly fee the provider gets to manage all of a patient's care, whether the patient has one visit or ten.

Why It Matters

Capitation encourages efficiency and preventive health. Since providers are paid the same amount regardless of services used, they are motivated to keep patients healthy to avoid more expensive treatments down the line.

How Mira Mace Can Help

Your advocate ensures that a capitation payment arrangement doesn't stand in the way of the care you need. We monitor your care plan, push for necessary referrals, and work to ensure that cost-saving models don't compromise the quality of your healthcare.