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  2. Bundled payment - Wikipedia

    en.wikipedia.org/wiki/Bundled_payment

    A 1998 report to the Health Care Financing Administration (now known as the Centers for Medicare and Medicaid Services) noted that in the five years of the demonstration project, the seven hospitals would have had expenditures of $438 million for coronary artery bypasses for Medicare beneficiaries, but the change in reimbursement methodology ...

  3. Health care prices in the United States - Wikipedia

    en.wikipedia.org/wiki/Health_care_prices_in_the...

    The Congressional Budget Office analyzed the reasons for healthcare cost inflation over time, reporting in 2008 that: "Although many factors contributed to the growth, most analysts have concluded that the bulk of the long-term rise resulted from the health care system's use of new medical services that were made possible by technological ...

  4. Medical billing - Wikipedia

    en.wikipedia.org/wiki/Medical_billing

    While medical billing and medical coding are closely related and often go hand-in-hand, they serve distinct functions in the healthcare industry. Medical coders are responsible for translating healthcare services, diagnoses, and procedures into standardized codes used for billing purposes. These codes ensure that healthcare providers receive ...

  5. Chargemaster - Wikipedia

    en.wikipedia.org/wiki/Chargemaster

    The procedure of developing, maintaining, and monitoring the chargemaster and its pricing scheme often necessitates multiple hospital employees working under the supervision of a "chargemaster coordinator", [10] [11] a "charge master manager", or others in the health care system's operations or administrative support areas frequently called a ...

  6. Can Health Care Reform Possibly Control Costs?

    www.aol.com/news/2010-04-10-industry-power...

    President Obama and his supporters have high hopes for health care reform. One of the most central goals of their plan is the reduction of long-term costs in the system, a much-needed change.

  7. Health maintenance organization - Wikipedia

    en.wikipedia.org/wiki/Health_maintenance...

    It is an organization that provides or arranges managed care for health insurance, self-funded health care benefit plans, individuals, and other entities, acting as a liaison with health care providers (hospitals, doctors, etc.) on a prepaid basis.

  8. External reference pricing - Wikipedia

    en.wikipedia.org/wiki/External_reference_pricing

    Access to needed essential medicines is an international human right, also named the "right to health", as stated by the United Nations and the WHO.[10]: 209 [11] [12] In 2001, the World Health Assembly passed the resolution No. 54.11 that called for exploring the feasibility and effectiveness of implementing systems to ensure medicines affordability and availability.

  9. Healthcare industry - Wikipedia

    en.wikipedia.org/wiki/Healthcare_industry

    This is an accepted version of this page This is the latest accepted revision, reviewed on 9 December 2024. Economic sector focused on health An insurance form with pills The healthcare industry (also called the medical industry or health economy) is an aggregation and integration of sectors within the economic system that provides goods and services to treat patients with curative, preventive ...