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Is Maryland’s PCMH Pilot payment structure different from a managed care capitation payment?

April 26, 2017capitation different managed Maryland payment pcmh pilot structure

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Is Maryland’s PCMH Pilot payment structure different from a managed care capitation payment?

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Yes, Maryland’s PCMH Pilot is designed to offer providers a fixed and incentive payment in addition to the fee-for-service payment they receive for treating patients. Neither the fixed nor the incentive payments are global capitation payment for all patient treatment services.