Networks of providers and payers that provide care and compete with other systems for enrollees. Systems may include hospitals, physicians and other providers and sites offering a full range of preventive and treatment services. Also known as coordinated care...
An experimental program supported through a grant or a cooperative agreement, generally to establish or demonstrate the feasibility of new methods or types of services.
A way of determining payments to hospitals, used under Medicare’s prospective payment system (PPS) and by some other public and private payers. The DRG system classifies patients into groups based on the principal diagnosis, treatments and other relevant...
Provided $85 million per year in mandatory funding from 2010-2012 to conduct a Medicaid demonstration in up to six states for development of training programs for personal and home care aides.