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Health Insurance Exchange

A health insurance exchange is a market where a individuals select their health insurance coverage. Exchanges can be private, like those used by private companies for their employees, or they can be public, like the ACA’s state-based insurance exchanges that allow individuals to select coverage and receive income-based subsidies if they qualify.

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…