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16 relations: Accounting, Actuarial science, Bundled payment, Contract, Fee-for-service, Health Affairs, Health care, Health maintenance organization, Independent practice association, Insurance, Nurse practitioner, Patient, Physician, Preventive healthcare, Reinsurance, Underwriting.
Accounting
Accounting or accountancy is the measurement, processing, and communication of financial information about economic entities such as businesses and corporations.
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Actuarial science
Actuarial science is the discipline that applies mathematical and statistical methods to assess risk in insurance, finance and other industries and professions.
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Bundled payment
Bundled payment, also known as episode-based payment, episode payment, episode-of-care payment, case rate, evidence-based case rate, global bundled payment, global payment, package pricing, or packaged pricing, is defined as the reimbursement of health care providers (such as hospitals and physicians) "on the basis of expected costs for defined episodes of care." It has been described as "a middle ground" between fee-for-service reimbursement (in which providers are paid for each service rendered to a patient) and capitation (in which providers are paid a "lump sum" per patient regardless of how many services the patient receives), given that risk is shared between payer and provider.
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Contract
A contract is a promise or set of promises that are legally enforceable and, if violated, allow the injured party access to legal remedies.
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Fee-for-service
Fee-for-service (FFS) is a payment model where services are unbundled and paid for separately.
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Health Affairs
Health Affairs is a peer-reviewed healthcare journal established in 1981 by John K. Iglehart; since 2014, the editor-in-chief is Alan Weil.
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Health care
Health care or healthcare is the maintenance or improvement of health via the prevention, diagnosis, and treatment of disease, illness, injury, and other physical and mental impairments in human beings.
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Health maintenance organization
In the United States, a health maintenance organization (HMO) is a medical insurance group that provides health services for a fixed annual fee.
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Independent practice association
An independent practice association (or IPA) is a US term for an association of independent physicians, or other organization that contracts with independent physicians, and provides services to managed care organizations on a negotiated per capita rate, flat retainer fee, or negotiated fee-for-service basis.
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Insurance
Insurance is a means of protection from financial loss.
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Nurse practitioner
Nurse practitioners are healthcare professionals educated and trained to provide health promotion and maintenance through the diagnosis and treatment of acute illness and chronic conditions.
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Patient
A patient is any recipient of health care services.
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Physician
A physician, medical practitioner, medical doctor, or simply doctor is a professional who practises medicine, which is concerned with promoting, maintaining, or restoring health through the study, diagnosis, and treatment of disease, injury, and other physical and mental impairments.
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Preventive healthcare
Preventive healthcare (alternately preventive medicine, preventative healthcare/medicine, or prophylaxis) consists of measures taken for disease prevention, as opposed to disease treatment.
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Reinsurance
Reinsurance is insurance that is purchased by an insurance company.
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Underwriting
Underwriting services are provided by some large specialist financial institutions, such as banks, insurance or investment houses, whereby they guarantee payment in case of damage or financial loss and accept the financial risk for liability arising from such guarantee.
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Capitated reimbursement, PMPM, Pmpm.
