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Lay Opinions Regarding Capitation-Based Health Care Plans

Capitation-based health care plans typically pay health care providers a fixed amount per enrollee per month to provide needed health care. Cited benefits of such plans include the reduction of unnecessary medical interventions, better coordination of patient care, and increased provider awareness of costs.1,2 Physicians in past studies have expressed concerns about capitation-based plans limiting patient access to care, reducing physician autonomy, threatening the physicianpatient relationship, and decreasing the quality of health care.1-5 To our knowledge, the depth of understanding and the beliefs of the lay population regarding the concept of capitation have not been published. Given the importance placed on capitation-based reimbursement in health care reform proposals, lay population views about the concept of capitation deserve attention. The hypotheses tested in this study were, first, that the lay population would be largely unaware of the nature of capitation-based plans and, second, that they would hold a generally negative view of the concept of capitation.