Health Financing & Insurance

A methodology linking a portion of provider reimbursement directly to measured performance on quality, efficiency, or outcome metrics, rather than volume alone.

A methodology reimbursing a provider a fixed amount for each day of care, regardless of specific services delivered that day.

The accumulation and management of prepaid healthcare funds into a shared fund used to pay for services for a covered population.

The periodic payment, typically monthly, an individual or employer makes to an insurer in exchange for health insurance coverage.

A financing mechanism in which individuals contribute funds toward future healthcare costs before they are incurred, through taxation or premiums.

Provider payment refers to the methods and arrangements through which healthcare providers are paid for delivering services, including fee-for-service, capitation, bundled payments, salaries, global budgets and value-based payment.

The process by which a payer allocates pooled healthcare funds to providers in exchange for delivering services to a covered population.