Why don't commercial health plans use prospective payment?
One of the key terms in contracts between hospitals and insurers is how the parties apportion the financial risk of treating unexpectedly costly patients. “Prospective” payment contracts give hospitals a lump-sum amount, depending on the medical condition of the patient, with limited adjustment for...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
University of Chicago Press
2019
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| Subjects: | |
| Online Access: | View Fulltext in Publisher |