Which of the following best describes a capitated agreement?

Study for the CMRP Exam. Prepare with flashcards and multiple choice questions, each with hints and explanations. Get ready with us!

A capitated agreement is specifically characterized by fixed payments made to providers regardless of the actual quantity of services delivered. In this model, healthcare providers receive a predetermined amount of money per patient enrolled over a specified period, typically regardless of how many services those patients use or require. This means that providers must manage their resources efficiently and focus on preventive care, as their revenue is not directly tied to the number of services provided.

The other options describe different payment structures. For instance, payment based on service outcomes implies a contingent payment model where providers are rewarded based on the efficacy of care, which is not characteristic of capitation. Similarly, costs based on emergency visits refer to models that may encourage greater reimbursement for urgent care rather than a fixed rate. Lastly, tying payments to patient satisfaction suggests a quality-based payment system that rewards providers for the experiences of their patients, rather than a fixed capitation fee. Overall, the essence of a capitated agreement lies in its fixed payment structure, designed to promote efficiency and proactive care management.

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