54.1k views
5 votes
What term refers to a pharmacy receiving a predetermined amount of money for a patient regardless of the number of prescriptions filled or the value of the prescriptions each month?

a) Capitation
b) Copayment
c) Deductible
d) Fee for service

1 Answer

2 votes

Final answer:

A pharmacy receiving a predetermined amount of money for a patient regardless of the number or value of prescriptions filled each month is referred to as a capitation payment system.

Step-by-step explanation:

In the context of healthcare financing, a pharmacy receiving a predetermined amount of money for a patient regardless of the number or value of prescriptions filled each month is referred to as a capitation payment system.

Capitation is a method of reimbursement in which healthcare providers receive a fixed payment for each patient enrolled in a plan, regardless of the services provided. This payment model is commonly used in health maintenance organizations (HMOs), where healthcare providers receive a set monthly fee per patient.

For example, let's say a pharmacy is part of an HMO and has 100 patients enrolled in the plan. Under a capitation payment system, the pharmacy would receive a predetermined amount of money for each of those 100 patients, regardless of whether they fill one prescription or multiple prescriptions in a given month.