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Cost-Based, Charge-Based, and Contractual Payment Systems
book

Cost-Based, Charge-Based, and Contractual Payment Systems

by Duane C. Abbey
August 2012
Intermediate to advanced content levelIntermediate to advanced
181 pages
6h 44m
English
Productivity Press
Content preview from Cost-Based, Charge-Based, and Contractual Payment Systems
Healthcare Provider Charges and Charge-Based Payment Systems ◾  65
to reduce their charges. One of the delimiting factors is that many healthcare providers have
contracts by which they are paid a percentage of what is charged. If there were any wholesale
reduction in pricing, there would be an immediate decrease in reimbursement. us, particularly
hospitals and integrated delivery systems providers may decide to hold down on increasing prices
to eect some sort of orderly process of reducing prices.
Case Study 3.26: Reducing Prices at the Apex Medical Center
e Apex Medical Center has a payment contract for 90 percent of charges with a major insurance
company in its region. Apex would like to reduce its charges overall by 5 percent. It ha
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Publisher Resources

ISBN: 9781439872994