Gatekeepers requiring a patient to obtain a referral from his or her primary care physician, the gatekeeper, before assign a specialist.
Requiring providers to have their capital expenditures preapproved by an independent state agency to avoid unnecessary duplication of services is referred to as:
Which one of the following systems is used to classify inpatients based o their diagnoses, used by both Medicare and private insurers?
A system that pays providers a specific amount in advance to care for defined health care needs of a population over a specific period is called:
Risk pool is:
The key factors that have contributed to the higher cost of health care include: