what can I say back to reply to my peer to add to the conversation A capitation environment does not foster quality. In a capitation environment, the clinic or provider receives a monthly payment for each patient. This payment is the same regardless of the amount of services provided. Coming from a provider's perspective, they may think "I am not going to do a bunch of tests on this patient and waste more resources, just to get paid the same amount". Capitation models make it so providers are less likely to provide a higher number of services and reduce visits, if the pay is the same across the board, which inturn would likely lower quality of healthcare. Capitation models may be implemented with a goal to lower healthcare costs by providing fewer services which would increase profitability for the organizations. These capped payments may also be a cheaper alternative for patients and families