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  2. 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.

  3. Specialty Society Relative Value Scale Update Committee

    en.wikipedia.org/wiki/Specialty_Society_Relative...

    Before the 1992 implementation of the Medicare fee schedule, physician payments were made under the "usual, customary and reasonable" payment model (a "charge-based" payment system). Physician services were largely considered to be misvalued under this system, with evaluation and management services being undervalued and procedures overvalued. [3]

  4. Optum - Wikipedia

    en.wikipedia.org/wiki/Optum

    Optum, Inc. is an American healthcare company ... an ambulatory surgery center and surgical hospital provider. [10] Aug. 2017: Optum announces it will acquire ...

  5. 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.

  6. Surgical Care Affiliates - Wikipedia

    en.wikipedia.org/wiki/Surgical_Care_Affiliates

    Subsidiary of Optum: Industry: Healthcare: Predecessor: Surgical Care Affiliates (1982 to 1995) HealthSouth Outpatient Surgery Division (1995 to 2007) Founded: 2007 in Birmingham, Alabama: Headquarters: Deerfield, Illinois, [1]

  7. Capitation (healthcare) - Wikipedia

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

    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.

  8. UnitedHealth Group - Wikipedia

    en.wikipedia.org/wiki/UnitedHealth_Group

    Also in 2003, UnitedHealth Group acquired Golden Rule Financial, a provider of health savings accounts. [15] On July 21, 2003, Exante Bank started operating in Salt Lake City, Utah, as a Utah state-chartered industrial loan corporation. It changed its name to OptumHealth Bank in 2008 [16] and to Optum Bank in 2012.

  9. Patrick H. Conway - Wikipedia

    en.wikipedia.org/wiki/Patrick_H._Conway

    Patrick H. Conway (born 1974) is an American physician and an advocate of health system transformation and innovation in the public and private sector. He is a practicing pediatrician formerly serving at the Cincinnati Children's Hospital and Children's National Medical Center.