Per DiemDaily Payment, Per-Day Payment
A methodology reimbursing a provider a fixed amount for each day of care, regardless of specific services delivered that day.
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
PoolingPrepaid Fund Accumulation, Shared Fund
The accumulation and management of prepaid healthcare funds into a shared fund used to pay for services for a covered population.
PremiumInsurance Charge, Coverage Contribution
The periodic payment, typically monthly, an individual or employer makes to an insurer in exchange for health insurance coverage.
PrepaymentAdvance Payment, Prepaid Financing
A financing mechanism in which individuals contribute funds toward future healthcare costs before they are incurred, through taxation or premiums.
Provider PaymentProvider Reimbursement, Payment Mechanism
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.
PurchasingCommissioning, Service Procurement
The process by which a payer allocates pooled healthcare funds to providers in exchange for delivering services to a covered population.
Revenue CollectionRevenue Mobilisation, Domestic Resource Mobilisation
The process by which a health system raises financial resources, through mechanisms such as general taxation, social insurance, and private premiums.
Risk AdjustmentRisk-Adjusted Payment, Morbidity Adjustment
Risk adjustment makes outcomes, costs, utilisation or payments more comparable by accounting for differences in characteristics that affect expected results but are not the focus of the comparison.