Health Care [N] » Health Care Economics and Organizations [N03] » Economics » Financial Management » Risk Management » Risk Sharing, Financial
Health Care [N] » Health Services Administration [N04] » Organization and Administration » Risk Management » Risk Sharing, Financial
Description
Any system which allows payors to share some of the financial risk associated with a particular patient population with providers. Providers agree to adhere to fixed fee schedules in exchange for an increase in their payor base and a chance to benefit from cost containment measures. Common risk-sharing methods are prospective payment schedules (PROSPECTIVE PAYMENT SYSTEM), capitation (CAPITATION FEES), diagnosis-related fees (DIAGNOSIS-RELATED GROUPS), and pre-negotiated fees. MeSH
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