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This would continue to be a decentralized system with existing health plans contracting with providers, but their insurance would no longer be employment-based.
The insurers play an administrative role – contracting with providers, paying bills, notifying employees of their benefits – but do not bear financial risk since all bills are ultimately paid by the employer.
Health insurers have become main actors in promoting cost containment since they now hold full budget responsibility and may enter into contracting with providers.
The clinicians and project leaders at the site have invested time and effort in improving diabetes care for patients since 1999 by working in cooperation with the hospital and specialists, developing care protocols, and contracting with providers.
Historically, regulation has tended to block competition, for example by preventing health-care purchasers from selective contracting with providers.
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According to Conrad's Web site, co-ops would contract with providers and act as insurers.
The focus of section "Freedom to contract" is the freedom of insurers to contract with providers, and section"Sufficient providers and insurers" deals with the sufficiency of provider and insurer supply.
They may even contract with provider networks and legitimate plan administrators to manage the claims.
We collect data on patients and providers affected by a natural experiment in contracting with private providers for urban primary and preventive health services in Shandong Province, China.
Contracting with private providers is increasingly discussed as an option for efficiently closing gaps in primary care coverage in low- and middle- income countries [29].
Instead, the bill prevents the state's Health and Human Services department from contracting with "private providers" of family planning services -- effectively, but not explicitly, singling out Planned Parenthood.
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