MLchartDataset catalogue

Case rate

Term · Insurance and risk management · MLC-T-INS-000694

A predetermined, fixed payment amount for a specific medical procedure, diagnosis, or episode of care, regardless of the actual services rendered or the length of stay. This payment model is often used by health insurers to reimburse hospitals or providers for a bundled set of services. It incentivizes providers to manage costs efficiently within the defined case.

Table 1. Record
IdentifierMLC-T-INS-000694
FieldInsurance and risk management
Record as JSON
{
  "id": "MLC-T-INS-000694",
  "term": "Case rate",
  "field": "Insurance and risk management",
  "definition": "A predetermined, fixed payment amount for a specific medical procedure, diagnosis, or episode of care, regardless of the actual services rendered or the length of stay. This payment model is often used by health insurers to reimburse hospitals or providers for a bundled set of services. It incentivizes providers to manage costs efficiently within the defined case.",
  "url": "https://mlchart.com/terminology/insurance/case-rate/"
}

Record 463 of 3,682 in Insurance and risk management terminology (MLC-0106). Request the full dataset.