Capitation payments don’t have to be complex. Our platform is purpose-built to help payers, IPAs, and MSOs automate and optimize capitation payment processing, reconciliation, and reporting—from simple per-member payments to advanced, risk-adjusted models.
Automate PMPM, risk-adjusted, and delegated capitation payments with CapSwift. Support HCC-based rate adjustment, multi-tier delegation, encounter-linked reconciliation, and audit-ready reporting—across Medicare, Medicaid, Commercial, and Duals.
CapSwift supports full-spectrum capitation management including fixed PMPM payments, HCC-based risk adjustment, and complex delegated arrangements. Designed for payers, IPAs, and MSOs, it handles multi-tier flows, downstream allocations, and contract-driven reconciliation with precision.
Configurable capitation setup with automated risk scoring and audit-ready reporting.
Accurate reconciliation with variance tracking, utilization data, and payment controls.
Real-time performance monitoring and predictive analytics for contract and risk optimization.
Simplify and streamline capitation management with accuracy and transparency to support your value-based care goals. Request a demo today to learn how top payers and providers are modernizing capitation management with our platform.
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