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Method of administering a health plan

  • US 20020111826A1
  • Filed: 08/03/2001
  • Published: 08/15/2002
  • Est. Priority Date: 12/07/2000
  • Status: Abandoned Application
First Claim
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1. A method of compensating a health service provider providing health services in service episodes to health plan members, the method comprising sharing a portion of the cost savings resulting from the provider'"'"'s reduction of actual average cost per service episode compared to a predetermined budgeted average cost per service episode, the portion depending in part upon the provider'"'"'s average cost per service episode compared to an average cost per service episode of providers to the members, and in part upon the provider'"'"'s performance on at least one of a quality measure and a member satisfaction measure.

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