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In a Contestable Market, _____

question 32

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In a contestable market, _____.


Definitions:

Accept Assignment

In healthcare, agreeing to accept the insurance company's payment as full payment for services rendered.

Health Maintenance Organizations

A type of health insurance plan that typically requires members to receive care from a network of specified healthcare providers and facilities to be covered.

Capitated Rate

A payment arrangement for healthcare service providers where they receive a set amount for each enrolled person assigned to them, regardless of the amount of services provided.

Copayments

A fixed amount paid by a patient for a covered healthcare service, usually when receiving the service, with the rest covered by their insurance.

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