D020414Level 6
Risk Sharing, Financial
**Definition:** Any system which allows payors to share some of the financial risk associated with a particular patient population with providers. Providers agree to adhere to fixed fee schedules in exchange for an increase in their payor base and a chance to benefit from cost containment measures. Common risk-sharing methods are prospective payment schedules (PROSPECTIVE PAYMENT SYSTEM), capitation (CAPITATION FEES), diagnosis-related fees (DIAGNOSIS-RELATED GROUPS), and pre-negotiated fees.
**Tree numbers:** - N03.219.463.800.800 - N04.452.871.800
**Synonyms:** - Financial Risk Sharing
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