CopaymentCopay, Fixed Fee Cost-Share
A cost-sharing form in which an insured person pays a fixed sum for a covered service, unlike coinsurance's percentage-based payment.
Health Financing & Insurance
Terms for how health systems raise and pool funds, insure populations and pay providers.
- Topic: Health Financing & Insurance
- 39 terms
- Editor reviewed
Cost SharingCost-Sharing, Patient Cost Share
The general term for the portion of healthcare costs an insured person pays directly, covering deductibles, copayments, and coinsurance.
Cream SkimmingCherry Picking, Favourable Risk Selection
A practice where an insurer or provider selectively attracts healthier, lower-cost enrollees while avoiding sicker ones, undermining risk pooling.
DeductibleInsurance Excess, Upfront Payment Threshold
A fixed amount an insured person must pay for covered services before their plan begins to share the cost.
Diagnosis Related GroupDRG, Inpatient Case Grouping
A patient classification system grouping hospital inpatient stays expected to need similar levels of resources, based on diagnosis and procedures.
Fee-for-ServiceFFS, Per-Service Payment
Fee-for-service is a provider-payment method in which each eligible health-care service generates a separate payment according to an applicable fee or contract.
Financial ProtectionFinancial Risk Protection, Cost Burden Shielding
The degree to which a financing system shields individuals from healthcare cost burden, covering both service breadth and protection depth.
Fiscal SpaceBudgetary Headroom, Fiscal Headroom
The budgetary room available to a government to increase spending on a priority, such as healthcare, without jeopardising overall fiscal stability.