skimping


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skimping

Etymology: Swed, skrympa, to shrink
a practice, sometimes used by health programs that receive their income on a prepaid or capitation basis, of delaying or denying services to enrolled members of the program as a means of increasing profits by decreasing costs. See also skimming.

skimping

The delaying or denial of services to members of a prepaid or “capped” health plan, as a means of controlling costs.

Rationale
Because the monies received by the health plan remain constant, providing “extra” services is more costly to the plan.

Examples
Delaying cataract surgery or reducing approvals of costly procedures, to levels below what is considered appropriate by knowledgeable practitioners.

'skimping'

Managed care The delaying or denial of services to members of a prepaid or 'capped' health plan, to control costs–because the monies received by the health plan remain constant, providing 'extra' services is more costly to the plan. See Skimming, Capitation.
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References in periodicals archive ?
MRE's primary purpose has been to provide affordable housing for seniors with limited incomes, without skimping on services.
Road shows depend on their stars or their Broadway reputations to pull in an audience, so producers can get away with skimping on other elements.
Back-loading your calories by skimping throughout the day and feasting at night means you're out of energy balance most of the time.
As Americans increasingly are eating out now more than ever, and as a result, are increasing fat consumption and skimping out on important nutrients such as calcium, according to the National Dairy Council (NDC).
The military refused to loan helicopters to Defensores to fight the flames from the air, and Defensores' executive director, Oscar Nunez, publicly complained that "the government is skimping and making very little effort to fight the fires.
This article tests the validity of the commonly held belief that prospective payment rewards such skimping.
Conversely, for women, a time-starved lifestyle manifests itself in skimping on "me time," - they are more likely to neglect personal care and health-related activities.
He attributes this new level of consciousness to the booming Latino population and the success of MTV's ``My Super Sweet 16,'' which spotlights the biggest, splashiest coming-of-age celebrations while skimping on tradition.
Leslie Reynolds and Company was hit by huge fines after skimping on its tax bill, according to Revenue figures released yesterday.
In some 40 lawsuits reportedly filed in the United States, the corporate behemoth--its annual sales is greater than the gross domestic product (GDP) of all but two Latin American economies--has been accused of using third-party contractors who hire illegal immigrants to work below minimum wage; of forcing employees to work overtime without pay; of busting up attempts to unionize; and of skimping on worker and retirement compensation.
Reimbursement is worsening, but skimping on care has become unacceptable.