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REQUEST FOR PROPOSALSCAPITATED PRIMARY CARE NETWORK RFP#: 300011460 Proposal Due Date: November 30, 2018STATE OF LOUISIANA OFFICE OF GROUP BENEFITS1Table of Contents 1ADMINISTRATIVE AND GENERAL INFORMATION

How to fill out capitated primary care network

How to fill out capitated primary care network

1. To fill out a capitated primary care network, follow these steps:
2. Determine your target population: Identify the specific group of individuals who will be enrolled in the network.
3. Establish network goals and objectives: Clearly define what you hope to achieve with your capitated primary care network.
4. Recruit participating providers: Reach out to primary care providers who are willing to enter into a capitation agreement.
5. Develop a contract: Create a contract that outlines the terms and conditions of the capitation agreement for participating providers.
6. Set payment terms: Determine how providers will be reimbursed for their services and establish the payment schedule.
7. Implement necessary infrastructure: Put in place the technological and operational systems required to support the capitated primary care network.
8. Develop care management protocols: Design protocols for managing patients' care and coordinating services within the network.
9. Educate providers and patients: Conduct training sessions to ensure providers and patients understand the capitated primary care model and their roles within it.
10. Monitor and evaluate network performance: Continuously monitor the performance of the network and make adjustments as needed.
11. Regularly communicate with providers and patients: Maintain open lines of communication to address any concerns and foster collaboration.

Who needs capitated primary care network?

1. Capitated primary care networks are beneficial for various stakeholders, including:
2. Health insurance companies: These networks help insurance companies control costs and manage risk by establishing fixed payment arrangements with primary care providers.
3. Employers: By implementing capitated primary care networks, employers can offer their employees access to coordinated and cost-effective care.
4. Primary care providers: Participating providers can benefit from the predictable revenue stream offered through capitated payment models.
5. Patients: Capitated primary care networks can improve access to primary care services, promote care coordination, and potentially lower overall healthcare costs for patients.

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What is capitated primary care network?

A capitated primary care network is a healthcare model where providers receive a set fee per patient for primary care services over a specific period, regardless of the number of services provided.

Who is required to file capitated primary care network?

Healthcare providers and organizations participating in capitated payment models are required to file capitated primary care networks.

How to fill out capitated primary care network?

To fill out a capitated primary care network, providers should gather required patient and service information, complete the necessary forms accurately, and ensure all data is submitted to the relevant health authority.

What is the purpose of capitated primary care network?

The purpose of a capitated primary care network is to promote cost-effective healthcare delivery, improve patient management, and encourage coordinated care.

What information must be reported on capitated primary care network?

Providers must report patient demographics, service utilization data, costs incurred, and outcomes achieved within the capitated primary care network.