In a contract that include downside risk, providers can typically earn a reward, usually an agreed-upon percentage of achieved savings (managing the medical expense of the relevant population so that it comes in lower than an agreed-upon target value), but must pay a share of the added costs if actual costs are higher than the target. Contracts with downside risk provide the greatest incentive for providers to manage and lower claim claim
A bill that your health care provider sends to your insurance company after you receive health care services.
cost.