Capitation Analysis

MCC brings working knowledge and experience that can enrich your organization’s capacity. We help you determine if the business offering is compatible with your ability to manage that risk. 

Capitation is one of the riskiest forms of provider reimbursement. As well, rewards can be high when risk is effectively managed.

Results:

MCC is contacted by an east coast Primary Care Association representing nine community health centers. MCC analyzes the contractual risk offering by an upstart HMO. MCC is engaged, applies analytical modeling that determines the actuarial model to be unstable. The PCA does not recommend a contract with the HMO, and a potentially catastrophic situation was averted.