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  2. Value-based health care - Wikipedia

    en.wikipedia.org/wiki/Value-based_health_care

    Value-based health care (VBHC) is a framework for restructuring health care systems with the overarching goal of value for patients, with value defined as health outcomes per unit of costs. [1] The concept was introduced in 2006 by Michael Porter and Elizabeth Olmsted Teisberg , though implementation efforts on aspects of value-based care began ...

  3. Pay for performance (healthcare) - Wikipedia

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

    In the healthcare industry, pay for performance (P4P), also known as "value-based purchasing", is a payment model that offers financial incentives to physicians, hospitals, medical groups, and other healthcare providers for meeting certain performance measures. Clinical outcomes, such as longer survival, are difficult to measure, so pay for ...

  4. Resource-based relative value scale - Wikipedia

    en.wikipedia.org/wiki/Resource-based_relative...

    The RBRVS for each CPT code is determined using three separate factors: physician work, practice expense, and malpractice expense. The average relative weights of these are: physician work (52%), practice expense (44%), malpractice expense (4%). [2] A method to determine the physician work value was the primary contribution made by the Hsiao study.

  5. Value-based insurance design - Wikipedia

    en.wikipedia.org/wiki/Value-Based_Insurance_Design

    Value-based insurance design (also V-BID, VBID, evidence-based benefit design, or value-based benefit design) is a demand-side approach to health policy reform.V-BID generally refers to health insurers' efforts to structure enrollee cost-sharing and other health plan design elements to encourage enrollees to consume high-value clinical services – those that have the greatest potential to ...

  6. Relative value unit - Wikipedia

    en.wikipedia.org/wiki/Relative_value_unit

    The services are classified under a nomenclature based on the Current Procedural Terminology (CPT) to which the American Medical Association holds intellectual property rights. [2] Each service in the fee schedule is scored under the resource-based relative value scale (RBRVS) to determine a payment. [2]

  7. UnitedHealth is strategically limiting access to critical ...

    www.aol.com/unitedhealth-strategically-limiting...

    But the company’s costs have climbed as the number of children diagnosed with autism has ballooned; experts say greater awareness and improved screening have contributed to a fourfold increase ...

  8. The 7 best OTC hearing aids for seniors, according to ... - AOL

    www.aol.com/lifestyle/the-7-best-otc-hearing...

    Cost: $1,495-$1,695 | Best for: Mild-to-moderate hearing loss | Covered by Insurance: Reimbursement ... You can also use your health savings account (HSA) or flexible spending account (FSA) toward ...

  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]

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