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  2. Physician self-referral - Wikipedia

    en.wikipedia.org/wiki/Physician_self-referral

    Physician self-referral is a term describing the practice of a physician ordering tests on a patient that are performed by either the referring physician himself or a fellow faculty member from whom he receives financial compensation in return for the referral.

  3. Stark Law - Wikipedia

    en.wikipedia.org/wiki/Stark_Law

    Stark Law is a set of United States federal laws that prohibit physician self-referral, specifically a referral by a physician of a Medicare or Medicaid patient to an entity for the provision of designated health services ("DHS") if the physician (or an immediate family member) has a financial relationship with that entity.

  4. Self-funded health care - Wikipedia

    en.wikipedia.org/wiki/Self-funded_health_care

    Self-funding involves a transfer of risk from the employee and his/her dependents to the employer directly. Self-funded health plans pay health claims out of plan assets; there is no element of traditional insurance on these programs, and the employer assumes all additional liability for claims that have not been paid by plan (trust) assets.

  5. Health care provider - Wikipedia

    en.wikipedia.org/wiki/Health_care_provider

    A health care provider is an individual health professional or a health facility organization licensed to provide health care diagnosis and treatment services including medication, surgery and medical devices. Health care providers often receive payments for their services rendered from health insurance providers.

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  7. 5 2025 Medicare Changes Every Retiree Should Know - AOL

    www.aol.com/5-2025-medicare-changes-every...

    Diabetes self-management training. Medical nutrition therapy. You will still be able to use telehealth services for the above reasons from anywhere, even your own home. 4. More resources for ...

  8. Fee-for-service - Wikipedia

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

    Fee-for-service (FFS) is a payment model where services are unbundled and paid for separately. [ 1 ] In health care, it gives an incentive for physicians to provide more treatments because payment is dependent on the quantity of care, rather than quality of care.

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