One type of fee schedule payment system assigns a weighted unit value for each medical procedure or service based on the cost and intensity of that service. Under this system, the unit values for procedural services are generally higher than the unit values for cognitive services. This system is known as a:
One true statement about the compensation arrangement known as the case rate system is that, under this system.
Health plans often negotiate compensation arrangements that transfer some or all of the financial risk associated with delivering healthcare services to network providers.The following statements are about these compensation arrangements. Select the answer choice containing the correct statement.
A health plan enters into a professional services capitation arrangement whenever the health plan:
The following statements are about incentive programs used for providers. Select the answer choice containing the correct statement.
By definition, a measure of the extent to which a health plan member can obtain necessary medical services in a timely manner is known as:
