skimming

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skimming

Etymology: Dan, skumme
a practice, sometimes used by health programs that receive their income on a prepaid or capitation basis, of seeking to enroll only relatively healthy individuals as a means of increasing profits by decreasing costs. See also skimping.

skimming

In health care, the practice of a for-profit corporation entering the market, attracting the business of patients who can pay, and avoiding treating the indigent.
References in classic literature ?
Nor can they tell why Skim Winsh, who came to his cottage under Dutton Shaw most musically drunk at 10.
on Saturdays Skim remembered it was his duty to posterity to keep it open--till Mrs.
His pigs got the cream and his children got the skim milk.