If a hospital has its payments reduced by an insurance company due to a perceived excess in the number of heart attacks with complications treated at the hospital, what kind of model is in operation?

Question

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Value-based payment models focus on the quality and outcomes of care, rather than the volume of services provided. If payments are reduced due to perceived excess complications, it indicates a value-based approach where the emphasis is on the quality and efficiency of care.

If a Hospital Has Its Payments Reduced by an Insurance