3 ms·
Makes me wonder why there is such a death grip on the fee for service model?
by aurizon 2y ago
Makes me wonder why there is such a death grip on the fee for service model?
- nradov 2y agoFee-or-service is the simplest and lowest risk model for providers. Anyone can submit a claim using a standard EDI transaction or paper form. Capitated models only work for larger health systems that can deliver most common services under one roof, and that have the necessary IT and actuarial competence to price risk for a patient population accurately. There is an emerging set of technical standards which can make this a bit easier. https://www.hl7.org/about/davinci/ https://www.hl7.org/about/davinci/