Presentation on Capitation[1]

Presentation on Capitation[1].pptx   14/10/16 Effect of Capitation on Utilization and Quality of Healthcare in the Ghanaian National Health Insurance Scheme   Eugenia Amporfu, KNUST and Peter Gyamfi, KNUST Introduction ´ Definition of Capitation: A healthcare provider payment method in which the provider receives a predetermined fee for specified services to each insured assigned to the facility f. [...] ´  This method of payment is a supply side cost sharing method and it provides incentive for the provider to contain cost ´ Given that revenue (in the form of the capitated fee) is fixed, the provider is able to maximize profit by minimizing the cost of care. [...] ´ Capitation then creates the incentive for the minimization of waste that occurs under the fee for service payment scheme 1 14/10/16 Introduction ´ Ability of capitation to contain cost is determined by the healthcare providers’ ability to control quality and utilization of care. [...] ´ With asymmetric information between provider and consumer, and the provider being better informed than the consumer, the provider has the upper hand in decision making that affect the use of resources, ´ Capitation can reduce utilization but to what extent is that efficient? ´ To what extent does capitation affect quality of care? ´ What about patient satisfaction? Important for enrolment. [...] Objectives of study ´ find out the effect of capitation on ´ utilization, ´ quality of healthcare ´ Cost shifting ´ Patient satisfaction ´ In the Ghanaian National Health Insurance 2 14/10/16 Ghanaian National Health Insurance (NHIS) ´ The NHIS was established by an Act of Parliament in 2003 (Act 650 revised in 2012 in Act 852) ´ Purpose to secure financial risk protection for healthcare for all G.