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Fuller RL et al. – Payment design can be used to identify units of service that are sufficiently narrow to give a transparent understanding of the type of care rendered but with the capacity for aggregation to describe the process as a whole. Transparency is defined as the use of categorical or rules–based models such as Diagnosis Related Groups. Payment systems can use a building block approach for each of the 4 types of health care encounter so as to encourage improved coordination of health care services.


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