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  2. All-payer rate setting - Wikipedia

    en.wikipedia.org/wiki/All-payer_rate_setting

    All-payer rate setting is a price setting mechanism in which all third parties pay the same price for services at a given hospital. [1] It can be used to increase the market power of payers (such as private and/or public insurance companies) versus providers, such as hospital systems , in order to control costs.

  3. Medical billing - Wikipedia

    en.wikipedia.org/wiki/Medical_billing

    The second is the healthcare provider, a term that encompasses not only physicians but also hospitals, physical therapists, emergency rooms, outpatient facilities, and other entities delivering medical services. The third and final party is the payor, typically an insurance company, which facilitates reimbursement for the services rendered.

  4. HealthCare.gov - Wikipedia

    en.wikipedia.org/wiki/HealthCare.gov

    HealthCare.gov is a health insurance exchange website operated by the United States federal government under the provisions of the Affordable Care Act (ACA), informally referred to as "Obamacare", which currently serves the residents of the U.S. states which have opted not to create their own state exchanges.

  5. What is an insurance broker? - AOL

    www.aol.com/finance/insurance-broker-155457276.html

    Insurance brokers don’t work for the insurance company like agents do. When you file a claim, you do it directly with the insurance company, which handles the claims process from start to finish.

  6. Third-party administrator - Wikipedia

    en.wikipedia.org/wiki/Third-party_administrator

    Third-party administrators are prominent players in the health care industry and have the expertise and capability to administer all or a portion of the claims process. They are normally contracted by a health insurer or self-insuring companies to administer services, including claims administration, premium collection, enrollment and other ...

  7. Health reimbursement account - Wikipedia

    en.wikipedia.org/wiki/Health_Reimbursement_Account

    A Health Reimbursement Arrangement, also known as a Health Reimbursement Account (HRA), [1] is a type of US employer-funded health benefit plan that reimburses employees for out-of-pocket medical expenses and, in limited cases, to pay for health insurance plan premiums.