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  2. Health care prices in the United States - Wikipedia

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

    Administrative costs. About 25% of U.S. healthcare costs relate to administrative costs (e.g., billing and payment, as opposed to direct provision of services, supplies and medicine) versus 10-15% in other countries. For example, Duke University Hospital had 900 hospital beds but 1,300 billing clerks.

  3. Explicit cost - Wikipedia

    en.wikipedia.org/wiki/Explicit_cost

    An explicit cost is a direct payment made to others in the course of running a business, such as wage, rent and materials, [1] as opposed to implicit costs, where no actual payment is made. [2] It is possible still to underestimate these costs, however: for example, pension contributions and other "perks" must be taken into account when ...

  4. Iron Triangle of Health Care - Wikipedia

    en.wikipedia.org/wiki/Iron_Triangle_of_Health_Care

    The concept of the Iron Triangle of Health Care was first introduced in William Kissick’s book, Medicine’s Dilemmas: Infinite Needs Versus Finite Resources in 1994, describing three competing health care issues: access, quality, and cost containment. [1] [2] Each of the vertices represents identical priorities. Increasing or decreasing one ...

  5. Capitation (healthcare) - Wikipedia

    en.wikipedia.org/wiki/Capitation_(healthcare)

    Providers tend to be small in comparison to insurers and so are more like individual consumers, whose annual costs as a percentage of their annual cash flow vary far more than those of large insurers. For example, a capitated eye care program for 25,000 patients is more viable than a capitated eye program for 10,000 patients.

  6. California Uninsured Patient Hospital Pricing Litigation

    en.wikipedia.org/wiki/California_Uninsured...

    Assembly Bill 774 was introduced to prevent hospital overcharging and other abusive collection practices. The legislation was opposed by the California Hospital Association. In 2004, Governor Arnold Schwarzenegger vetoed the bill, stating that voluntary guidelines adopted by hospitals to protect the uninsured were sufficient. [11]

  7. Hospital Insurance and Diagnostic Services Act - Wikipedia

    en.wikipedia.org/wiki/Hospital_Insurance_and...

    The Hospital Insurance and Diagnostic Services Act (French: Loi sur l’assurance-hospitalisation et les services diagnostiques, [1] HIDS) is a statute passed by the Parliament of Canada in 1957 that reimbursed one-half of provincial and territorial costs for hospital and diagnostic services administered under provincial and territorial health insurance programs.

  8. Case mix index - Wikipedia

    en.wikipedia.org/wiki/Case_mix_index

    The adjusted average cost per patient would reflect the charges reported for the types of cases treated in that year. If a hospital has a CMI greater than 1.00, their adjusted cost per patient or per day will be lower and conversely, if a hospital has a CMI less than 1.00, their adjusted cost will be higher. Example:

  9. Profit (economics) - Wikipedia

    en.wikipedia.org/wiki/Profit_(economics)

    It is different from accounting profit, which only relates to the explicit costs that appear on a firm's financial statements. An accountant measures the firm's accounting profit as the firm's total revenue minus only the firm's explicit costs. An economist includes all costs, both explicit and implicit costs, when analyzing a firm. Therefore ...