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Healthcare Management vocabulary · Health Insurance and Reimbursement

Reimbursement

Meaning in healthcare management, with examples

/ˌriːɪmˈbɜːrsmənt/nounCore term

In healthcare management, reimbursement means: The money that an insurer or public payer pays a hospital or doctor for care already given to a patient, according to agreed rules and prices.

In Turkish: geri ödeme, bedel ödemesi

How it is used

A key word in healthcare finance. People talk about reimbursement rates, reimbursement models and delays in reimbursement. The verb 'reimburse' is used for the payer: 'The insurer reimburses the hospital within 60 days.'

Example sentences

  1. Reimbursement for this procedure does not even cover our material costs.

  2. The new reimbursement model pays hospitals a fixed amount per case.

Common collocations

  • reimbursement rate
  • reimbursement model
  • claim reimbursement
  • delayed reimbursement
  • reimbursement policy
  • payerAn organisation that pays for patients' healthcare, such as a government health fund, a social security institution or an insurance company.
  • claimA formal request that a hospital or patient sends to an insurer or public payer, listing the care given and asking to be paid for it.
  • fee-for-serviceA payment method in which providers are paid separately for each visit, test or procedure they carry out.
  • DRGShort for diagnosis-related group: a category of hospital cases with similar diagnoses and procedures, used to pay hospitals a fixed amount per case.
  • capitationA payment method in which a provider receives a fixed amount for each registered person over a period, whether or not that person uses any care.

More terms: Health Insurance and Reimbursement

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This page explains English vocabulary for learners. It is not medical advice.