Acute care facilities are those hospitals that mainly serve persons with short-term health problems. Case mix is generally established by estimating the relative frequency of various types of patients seen by the provider in question during a given time period and may be measured by factors such as diagnosis, severity of illness, utilization of services, and provider characteristics. They are, however, conceptually different. Costs reflect the resources devoted to health care that are not available to produce other goods and services.
Expenditures are what is paid for health services by purchasers or what is received by providers.
Coverage is sometimes used interchangeably with benefits or protection, and may mean protection in an insurance contract or an employer self-funded benefit plan. Massachusetts Division of Insurance deductible A flat dollar amount that an individual must pay for covered services before the company will begin to make payments for benefits. Massachusetts Division of Insurance indemnity insurance Health insurance benefits provided in the form of cash payments rather than services. An indemnity insurance contract usually defines the maximum amounts which will be paid for covered services. An organized form of prepaid medical practice in which participating physicians remain in their independent office settings, seeing both enrollees of the IPA and private-pay patients.