A managed care insurer negotiates with a provider to pay 11% less than the provider's standard charge for a certain service. This reimbursement methodology is called:

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Discounted fee-for-service is a payment model where the insurer pays the provider a fee for each service, but at a rate that is lower than the provider's usual charge. This is achieved through negotiation between the insurer and the provider.

A Managed Care Insurer Negotiates with a Provider to Pay