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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.

Minimum Medical Loss Ratio for Insurers

Ratio of insurance expenditures used on care as opposed to administrative or other costs. Under ACA insurance companies are required to issue rebates to consumers…