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  2. Pay for performance (healthcare) - Wikipedia

    en.wikipedia.org/wiki/Pay_for_performance...

    In the healthcare industry, pay for performance (P4P), also known as " value-based purchasing ", is a payment model that offers financial incentives to physicians, hospitals, medical groups, and other healthcare providers for meeting certain performance measures. Clinical outcomes, such as longer survival, are difficult to measure, so pay for ...

  3. Healthcare in the United States - Wikipedia

    en.wikipedia.org/wiki/Healthcare_in_the_United...

    Aggregate US hospital costs were $387.3 billion in 2011—a 63% increase since 1997 (inflation adjusted). Costs per stay increased 47% since 1997, averaging $10,000 in 2011 (equivalent to $13,544 in 2023 [31]). [128] As of 2008, public spending accounts for between 45% and 56% of US healthcare spending. [129]

  4. Revenue cycle management - Wikipedia

    en.wikipedia.org/wiki/Revenue_cycle_management

    Revenue cycle management. Revenue cycle management (RCM) is the process used by healthcare systems in the United States and all over the world to track the revenue from patients, from their initial appointment or encounter with the healthcare system to their final payment of balance. It is a normal part of health administration.

  5. Fee-for-service - Wikipedia

    en.wikipedia.org/wiki/Fee-for-service

    Fee-for-service. Fee-for-service (FFS) is a payment model where services are unbundled and paid for separately. [1] In health care, it gives an incentive for physicians to provide more treatments because payment is dependent on the quantity of care, rather than quality of care. However evidence of the effectiveness of FFS in improving health ...

  6. R1 RCM - Wikipedia

    en.wikipedia.org/wiki/R1_RCM

    R1 RCM Inc. is an American 'revenue cycle management' company servicing hospitals, health systems and physician groups across the United States.RCM is the process of managing all revenue-generation functions in a healthcare organization. It requires an understanding of the revenue cycle and begins when a patient seeks the organization's medical ...

  7. Donabedian model - Wikipedia

    en.wikipedia.org/wiki/Donabedian_model

    The Donabedian model is a conceptual model that provides a framework for examining health services and evaluating quality of health care. [1] According to the model, information about quality of care can be drawn from three categories: “structure,” “process,” and “outcomes." [2] Structure describes the context in which care is ...

  8. Andersen healthcare utilization model - Wikipedia

    en.wikipedia.org/wiki/Andersen_healthcare...

    The Andersen healthcare utilization model is a conceptual model aimed at demonstrating the factors that lead to the use of health services. According to the model, the usage of health services (including inpatient care, physician visits, dental care etc.) is determined by three dynamics: predisposing factors, enabling factors, and need.

  9. ACC eyes revenue distribution models that could quell ... - AOL

    www.aol.com/acc-eyes-revenue-distribution-models...

    Health. Home & Garden. Lighter Side. News. Science & Tech. Shopping. Sports. Weather. ACC eyes revenue distribution models that could quell disputes with FSU, Clemson, AP sources say. RALPH D ...

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