Question

which of these includes payments made directly or indirectly to health care providers to encourage a reduction or limitation of services to save money for the managed care plan?
a. physician incentives
b. risk contracts
c. point - of - service plans
d. capitation

Explanation:

• Physician incentives (a) are payments made to encourage cost - effective care, but not specifically tied to managed care plans.
• Risk contracts (b) involve providers taking on financial risk, which is a key aspect of managed care to control costs.
• Point - of - service plans (c) are a type of health plan but do not inherently include the payment mechanism to encourage service reduction.
• Capitation (d) is a payment model where providers are paid a fixed amount per patient, incentivizing them to manage costs by potentially reducing or limiting services.

Answer:

d. Capitation