Monthly capitation check from HMOs

Started by UCLAdental
This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.
Get help with your application

Use all the free resources available to you from SDN: articles, guides, expert advising, forums discussions, and school research.

UCLAdental

New Member
10+ Year Member
Advertisement - Members don't see this ad
For someone starting a new practice would signing up with HMO plans initially provide a stable source of income considering they pay a capitation fee, what is the usual capitation amount per month for all the patients assigned to a practice? Is it in the low hundreds or $1200 or $1500 or way more or way less? I know the challenges associated with HMOs with a wacky fee schedule but is the capitation check enough to cover rent at least initially for a startup practice?
 
Last edited:
For someone starting a new practice would signing up with HMO plans initially provide a stable source of income considering they pay a capitation fee, what is the usual capitation amount per month for all the patients assigned to a practice? Is it in the low hundreds or $1200 or $1500 or way more or way less? I know the challenges associated with HMOs with a wacky fee schedule but is the capitation check enough to cover rent at least initially for a startup practice?
Keep in mind that although it might help cover fixed costs, you'll be losing out on the variable costs (variable cost of seeing an HMO > revenue from HMO patient) unless you do a lot of upselling and upcharging.