
Payment to the Physician:
1. Capitation payment
2. HMO? contract with patient, contract with doctor.
a. Patient pays a premium of which some goes to administration and profits, some to pay the providers, and some to a risk pool for the hospital expenses of the patient.
b. The physician gets a fee per patient whether he sees them or not.
(1) The risk pool is divided between the doctor and the hospital at the end of the year if there is any left.
(2) This may be incentive to not admit to the hospital.
c. The question is whether there is doctor-patient relationship if the patient is on the list but does not see the patient.
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