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by OrvalWintermute
1734 days ago
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>Under that model, providers bear much of the financial risk. Actually, practices currently bear the risk already, because they are subject to reimbursements unless they are cash-paying. Remember, the patients are regularly not the bill payors - the Payors are actually insurance companies/medicare/or, rare HMOs out of the area. > They might receive a single bundled payment for a joint replacement including all follow-up care, with penalties for failing to meet clinical quality measures Certain medical interventions like cancer treatment or joint replacement may require a long tail of treatment, counseling, physical therapy, aftercare, global periods, etc. The applicability of that is fairly limited since many things do not trigger a global, and don't fit into this definition. |
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