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Approaches to Enhancing Differentiation Through Changes in the Value Chain

question 37

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Approaches to enhancing differentiation through changes in the value chain do not include


Definitions:

Balance Billing

Billing a patient for the difference between a higher usual fee and a lower allowed charge.

Allowed Charge

The amount that is the most the payer will pay any provider for each procedure or service.

Copayment

A fixed amount that a healthcare beneficiary pays for covered medical services, usually at the time of receiving the service.

Capitated Payment

A payment arrangement in healthcare where a provider is paid a set amount for each enrolled person assigned to them, regardless of the number of services provided.

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