Under a Managed Care Contract with a Capitation Reimbursement Method

question 60

True/False

Under a managed care contract with a capitation reimbursement method, the provider is paid a per-member-per-month (PMPM) fee for each enrolled member regardless of services provided.

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Definitions:

Cancer Cells

Cancer cells are cells that divide uncontrollably, escape the normal cell cycle regulation mechanisms, and can invade other tissues, leading to cancer.

Mast Cell

A type of white blood cell that contains histamine and other chemicals involved in the inflammatory response.

Promote Inflammation

A biological response where parts of the body become reddened, swollen, hot, and often painful, especially as a reaction to injury or infection.

Connective Tissue

A type of bodily tissue that supports, binds together, and protects the organs and other tissues of the body.