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Unlike capitation, bundled payment does not penalize providers for caring for sicker patients. [ 5 ] Considering the advantages and disadvantages of fee-for-service, pay for performance , bundled payment for episodes of care, and global payment such as capitation, Mechanic and Altman concluded that "episode payments are the most immediately ...
The Streamlining Claims Processing for Federal Contractor Employees Act (Pub. L. 113–50 (text), 127 Stat. 578, enacted November 21, 2013) was signed into law by President Barack Obama in 2013. It transfers some authority from the Government Accountability Office to the United States Department of Labor in order to streamline the ...
The United States Court of Federal Claims (in case citations, Fed. Cl. or C.F.C.) is a United States federal court that hears monetary claims against the U.S. government.It was established by statute in 1982 as the United States Claims Court, and took its current name in 1992.
Secondary capitation is a relation arranged by care organization between a physician and a secondary or specialist provider, i.e. or ancillary facility or an X-ray facility. Global capitation is a relationship based on a provider who provides services and is reimbursed per-member per-month for the entire network population.
Secondary capitation is a relationship arranged by a managed care organization between a physician and a secondary or specialist provider, such as an X-ray facility or ancillary facility such as a durable medical equipment supplier whose secondary provider is also paid capitation based on that PCP's enrolled membership.
The Trump administration has unveiled a novel plan offering financial incentives to 2 million civilian full-time federal workers to quit their jobs as part of a planned cull of the government ...
Recent claim experience—whether better or worse than average—is a strong predictor of future costs in the near term. But the average health status of a particular small employer group tends to regress over time towards that of an average group. [91] The process used to price small group coverage changes when a state enacts small group ...
The Foreign Claims Settlement Commission of the United States (FCSC) is a quasi-judicial, independent agency within the U.S. Department of Justice which adjudicates claims of U.S. nationals against foreign governments, either under specific jurisdiction conferred by Congress or pursuant to international claims settlement agreements.