modified fee-for-service

modified fee-for-service

Health service reimbursement which is based on the actual fees charged by a healthcare provider, and subject to a ceiling for each procedure.

modified fee-for-service

Managed care A situation where reimbursement is made based on the actual fees subject to maximums for each procedure
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In several communities in Washington and Oregon, CMHCs have taken the counterintuitive step of encouraging their Medicaid mental health plans to implement modified fee-for-service payment systems that bring the local system into alignment with fiscal realities.
To avoid insurance regulations, the employers will start with a modified fee-for-service system that will approximate capitation.
MC, in one form or another, from modified fee-for-service (FFS) preferred provider organizations (PPOs) to full risk integrated delivery systems (IDSs), has rapidly grown throughout the United States.
We contract with specialty providers and other sources of health care in a modified fee-for-service arrangement.

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