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The Ins and Outs of Contracting Methodologies
Manage episode 334314042 series 3324979
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We're celebrating 10 episodes today! To mark this momentous occasion, Dr. Jay and J.R. do a deep dive into the various contracting methodologies that insurance companies use when talking to hospitals.
They start with fee-for-service models, which pay a set amount of money to providers for a given service. They also explain bundled payments, which see providers take a single payment for a collection of related services. And finally, they look at capitation — weighing all healthcare costs across a population and collecting a set amount of money based on estimates of what sort of care will be necessary.
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