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  2. Preferred provider organization - Wikipedia

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

    Other features of a preferred provider organization generally include utilization review, where representatives of the insurer or administrator review the records of treatments provided to verify that they are appropriate for the condition being treated rather being largely, or solely, being performed to increase the number of people due.

  3. Independent practice association - Wikipedia

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

    In the United States, an independent practice association (IPA) is an association of independent physicians, or other organizations that contracts with independent care delivery organizations, and provides services to managed care organizations on a negotiated per capita rate, flat retainer fee, or negotiated fee-for-service basis. [1] [2]

  4. Dentistry in the United States - Wikipedia

    en.wikipedia.org/wiki/Dentistry_in_the_United_States

    The dentist creates a diagnosis, consults the patient, and conceptualizes a treatment. [9] In 2009, Dental assistants made roughly $14.40 an hour, about $32,000 annually. Unlike dentists, dental assistants do not have much influence over the treatment of patients. [10] They carry out routine procedures and follow the dentists' instructions.

  5. Managed care - Wikipedia

    en.wikipedia.org/wiki/Managed_care

    Policies may vary from low cost to all-inclusive to meet different demands of customers, depending on needs, preferences, and budget. Fee-for-service is a traditional kind of health care policy: insurance companies pay medical staff fees for each service provided to an insured patient. Such plans offer a wide choice of doctors and hospitals.

  6. Balance billing - Wikipedia

    en.wikipedia.org/wiki/Balance_billing

    In France, physicians who want to charge more than the government-negotiated set fees are considered to be in a separate "payment sector," which essentially means they are treated as self-employed. They can charge higher fees and receive reduced benefits. In 1987, about 27% of French physicians chose to balance the bill.

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  8. Pay for performance (healthcare) - Wikipedia

    en.wikipedia.org/wiki/Pay_for_performance...

    Pay for performance systems link compensation to measures of work quality or goals. Current methods of healthcare payment may actually reward less-safe care, since some insurance companies will not pay for new practices to reduce errors, while physicians and hospitals can bill for additional services that are needed when patients are injured by mistakes. [1]

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