What is the reimbursement model commonly used for non-capitated payments to physicians?

The reimbursement model commonly used for non-capitated payments to physicians is Fee-For-Service. This model allows physicians to be paid for each individual service or procedure they provide to patients. Under this system, healthcare providers bill insurance companies or patients directly for the specific treatments, consultations, and tests performed, which incentivizes the delivery of care by compensating physicians based on the volume of services rendered rather than a fixed per-patient payment.

In this model, each service is typically assigned a specific reimbursement rate, reflecting the complexity and resource use of the service. This structure promotes transparency, as providers and patients can see exactly what services are being rendered and what they are being charged for each specific encounter.

This is in contrast to capitated payment models that provide a fixed fee per patient regardless of the number of services delivered, and bundled payment systems, which involve a single payment for all the services related to a specific episode of care. Per-visit reimbursement, while similar to Fee-For-Service, does not capture the broader range of services provided, as it may focus solely on face-to-face visits rather than all medical services rendered.