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  2. Maryland hospital payment system - Wikipedia

    en.wikipedia.org/wiki/Maryland_hospital_payment...

    For 5 years beginning in 2014, Maryland will limit the growth of per capita hospital costs to the lesser of 3.58% or 0.5% less than the actual national growth rate for 2015 through 2018. The change is forecast to save Medicare at least $330 million. 3.58% is Maryland's historical 10-year growth rate of per capita gross state product. [1]

  3. Blue Cross Blue Shield Association - Wikipedia

    en.wikipedia.org/wiki/Blue_Cross_Blue_Shield...

    Founded in 1948, [26] Arkansas Blue Cross Blue Shield (ABCBS) [27] is an independent licensee of the Blue Cross Blue Shield Association, and the largest healthcare provider in the state. [28] It donated $1.98 million to The Walton College of Business toward founding its Robert L. Shoptaw Master of Healthcare Business Analytics Program. [ 29 ]

  4. Preferred provider organization - Wikipedia

    en.wikipedia.org/wiki/Preferred_provider...

    In U.S. health insurance, a preferred provider organization (PPO), sometimes referred to as a participating provider organization or preferred provider option, is a managed care organization of medical doctors, hospitals, and other health care providers who have agreed with an insurer or a third-party administrator to provide health care at ...

  5. All-payer rate setting - Wikipedia

    en.wikipedia.org/wiki/All-payer_rate_setting

    For 5 years beginning in 2014, Maryland will limit the growth of per capita hospital costs to the lesser of 3.58% or 0.5% less than the actual national growth rate for 2015 through 2018. The change is forecast to save Medicare at least $330 million. 3.58% is Maryland's historical 10-year growth rate of per capita gross state product.

  6. Independent practice association - Wikipedia

    en.wikipedia.org/wiki/Independent_practice...

    Physician's Management. 19, no. 1: 42–6. 2002. "LATE - REGULATORY PRECEDENT - The FTC OKs a Deal That Would Allow a Physician Independent Practice Association to Contract with Health Plans on Behalf of Its Competing Physicians". Modern Healthcare. 32, no. 8: 6.

  7. Fact-check: Does Blue Cross Blue Shield pay physicians to ...

    www.aol.com/news/fact-check-does-blue-cross...

    "Blue Cross Blue Shield pays your doctor a $40,000 bonus for fully vaccinating at least 100 patients under the age of two," an Instagram post claimed. "Under Blue Cross Blue Shield's rules ...

  8. Healthcare in the United States - Wikipedia

    en.wikipedia.org/wiki/Healthcare_in_the_United...

    [136] [137] Of each dollar spent on healthcare in the US, 31% goes to hospital care, 21% goes to physician/clinical services, 10% to pharmaceuticals, 4% to dental, 6% to nursing homes and 3% to home healthcare, 3% for other retail products, 3% for government public health activities, 7% to administrative costs, 7% to investment, and 6% to other ...

  9. Fee-for-service - Wikipedia

    en.wikipedia.org/wiki/Fee-for-service

    In the health insurance and the health care industries, FFS occurs if doctors and other health care providers receive a fee for each service such as an office visit, test, procedure, or other health care service. [5] Payments are issued only after the services are provided. FFS is potentially inflationary by raising health care costs. [6]