Global capitation at a women's health referral center: The challenge of patient selection

Global risk capitation as a preferred payment method in heavily penetrated managed care markets poses important challenges for women's health care ter tiary referral centers that employ participating primary care physicians. G lobal risk capitation agreements expose those centers to the adverse financ ial effects of high frequency of obstetric visits, costly infertility and n eonatal care, and care of a disproportionate number of patients with comple x, resource-intensive conditions. (Obstet Gynecol 2000;96:1018-22. (C) 2000 by The American College of Obstetricians and Gynecologists.).