Any out-of-pocket payment the patient makes for a portion of the costs of covered services. Deductibles, coinsurance, copayments and balance bills are types of cost sharing.
The practice by which a seller of a health service, such as a hospital, increases charges for some payers to offset losses due to uncompensated or indigent care or lower payments from other payers.
Households earning 100 percent 250 percent of the federal poverty level are eligible for cost-sharing reductions to help pay for out-of-pocket costs associated with a silver plan purchased through a health insurance marketplace. This provision lowers cost-sharing for...
Limited-service hospitals located in rural areas and meeting certain size, location and other requirements. CAHs are subject to less rigorous staffing standards and receive reimbursement from Medicare based on their actual costs, rather than by the more common (and...
The concept of certain purchasers paying more for medical services than they otherwise would so that others can pay less (or nothing at all), so another activity can be funded. In the U.S. health system, this mechanism has been used to pay for medical services for the...