CH29 - Alt Risk Management

Question 1

Reimbursement methods

Answer 1

• Indemnity or fee-for-service
• Modified (negotiated) fee-for-service
• Per diem (hospitals)
• Per case/Episode care fees
• Capitation
• Salary
• Pay for performance
• Pay for co-ordination
• Pay for participation

Question 2

Categories of full medical underwriting

Answer 2

• Medical
• Lifestyle
• Financial