An investigation of the effects of capitated compensation for primary care on healthcare utilization of medicare beneficiaries
This research is unique in that it evaluates annual healthcare utilization based on the risk-bearing capitated reimbursement for patients' PCPs. Other research has not found a strong correlation between value-based reimbursement, healthcare utilization, and cost savings. This article demonstrates significantly less healthcare utilization for patients when PCPs receive greater risk-bearing capitated reimbursement. However, services received from a PCP were greater for these patients.
Authors
- L. Douglas Smith (ORCID: https://orcid.org/0000-0003-0150-3390)
- Michael R Wieck (ORCID: https://orcid.org/0000-0003-3398-5363)
- Steven R Stout
Institutions
- University of Missouri–St. Louis (US)
- Endeavor Charter School (US)
- Indiana University Southeast (US)
Publication Details
- Journal
- Journal of Health Organization and Management
- Published
- 2025-11-03
- DOI
- https://doi.org/10.1108/jhom-01-2025-0034
- Primary Topic
- Primary Care and Health Outcomes
- Type
- article
- Field-Weighted Citation Impact
- 0.00