Ch 16: Financial assumptions

Question 1

Healthcare provider reinbursement methods

Answer 1

• Indemnity or fee-for-service
• Modified (negotiated) fee for service
• Per-diem (hospitals) - per day in hospital
• Per-case - per case or per hospital admission
• Capitation - pre-payment (monthly) per member regardless of whether that member uses the service or cost of service.
• Salary