Fixed dollar amount that is calculated as a percentage of the average monthly premium paid by each member of a managed care plan. It is paid to the provider each month instead of another payment method. This phrase is used in managed care plan contracts and is one of two methods used to compute a capitation payment.
Tag: RAW
Percentage adjustments
A term describing a percentage increase or decrease to give effect to changes in fire insurance premium rates to reflect changes in the experience of the various classes of risk.
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An increase or decrease by a percentage of fire insurance rates made to reflect changes in experience in the various classes.
Percentage contribution
Amount of premium that a member pays in a contributory group insurance plan. Also called employee contribution or member contribution.
Percentage of accrued charges
Payment method that calculates reimbursement based on a percentage of total approved charges accrued during a hospital stay and submitted to the insurance plan.
Percentage of fire loss
Form of business interruption policy under which the insurer pays a percentage of the amount paid for the material damage claim. The percentage is based on the relationship between the interruption sum insured and the total fire sum insured. The policy is an excess fire policy not one of indemnity.
Percentage of Fire Loss Insurance
Insurance of consequential loss under which the sum payable is expressed as a percentage of the payment made for material damage.
Percentage of revenue
Fixed percentage of the collected premium rate that is paid to the hospital to cover services.
Percentage participation
See: coinsurance.
Percentage participation (Health Insurance)
A provision stating that the insurer and the insured will pay specified portions of any losses, which they have agreed to in the contract.
Percentage Participation Clause
In health insurance a provision that requires the insured to bear a percentage of expenses in excess of the deductible. See Also: “Coinsurance.”