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Reimbursment

Reimbursment Models

TermDefinition
pay-for-performance (p4p) a reimbursement model intended to improve the traditional fee-for-service method by changing the focus to value based care rather than volume-based care
value-based care model rewards the provider with incentive payments for meeting defined program performance standards
capitation a managed care method of monthly payments to the provider based on the number of enrolled patients, regardless of how many encounters a patient may have during the month
carved out medical services that are not included in the contracted capitation rate. These services may be billed separately
Created by: tbharris
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