• The base payment rate in healthcare is the specified amount set by payers for reimbursing providers for the services rendered that can be changed for different patient conditions, geographic locations, or facility types.

    • A benefit period is when an insurance policyholder or their dependents are eligible to file claims and receive payments for covered events.

    • Understand bundled payments, a value-based reimbursement model for efficient healthcare. Explore examples in joint replacement, cardiac care, and chronic condition management.

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