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Aligning Incentives

Aligning incentives refers to an effort to pay for the actions that provide value (such as good quality care, care coordination, and the like) and thus incentivize medical providers to make decisions toward that aim. Currently, the fee-for-service system incentivizes providers to provide services whether they are beneficial or not.

Exchange-participating Health Benefits Plan Contract

Contracts between insurance providers and state health care exchanges allowing the provider to offer plans through the exchange.