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Capitation

A payment based on the individual (for a set period of time) rather than a per-service payment. Insurance plans tend to pay a physician network a certain per member per month payment to cover all of the services needed by that individual.

Improper Payments Information Act (IPIA)

Requires agencies to distinguish programs and activities susceptible to improper payments each year. They must also estimate the amount of overpayments or underpayments. Each year…