Question: Explain the difference between a cost and expense? Since providers are not able to negotiate with government payers, how can they afford to treat patients

  1. Explain the difference between a cost and expense?
  2. Since providers are not able to negotiate with government payers, how can they afford to treat patients covered by those plans when the payment does not cover the cost of care?
  3. Why do many prospective payment systems include an outlier term?
  4. What are the potential negative ramifications of decreases in Medicare's payments to physicians?

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