How are Physicians within CHN reimbursed?
Physicians are reimbursed on a fee-for-service basis directly by the CHN contracted payors. For non-risk contracts, fee schedules are negotiated via a messenger model process that allows the PHO and the payor to establish rates. After the rates are agreed to, they are used by the payors so that reimbursement is made according to the negotiated fee schedule. The CHN risk contracts (HMO and POS) reimburse practitioners according to a fee schedule negotiated between CHN and the member organizations. Practitioners are NOT capitated by CHN.
