BusinessAugust 21, 2026
capitated
KAP-ih-tay-tid
Definition
Referring to a payment model in healthcare where a provider is paid a fixed, set amount of money per patient over a specific period, regardless of the number or cost of services provided to that patient.
Etymology
Derived from the Latin 'caput', meaning 'head', which refers to the concept of 'per head' or per-person payments in a financial or administrative context.
In the news
The article uses the term to describe fixed payments to healthcare providers; it notes that when algorithmic denials lead to the improper retention of these payments, organizations face potential legal liability under the False Claims Act.
When the Algorithm Cuts Both Ways: False Claims Act Liability in the Age of AI-Driven Healthcare
Read the full article ↗JD Supra