Accountable Care Houston

Terms to Know

Fee-for-Service: Fee-for-Service payment occurs when doctors and other health care providers receive a fee for each service provided, such as an office visit, test, procedure or other health care service.

Capitation: A payment method for health care services in which the physician, hospital, or other health care provider is paid a contracted rate for each member typically on a monthly basis. The contractual rates are usually adjusted for age, gender, illness and regional differences.

Bundled payments: Bundled payment systems, also known as ‘case rates’ or ‘episode-based payment,’ would make a single payment for all services related to a treatment or condition, potentially spanning multiple providers in multiple medical settings.

EMR: Electronic Medical Record.