When rates are set higher than actual costs to recover unreimbursed costs from government, uninsured, underinsured and other payers.
The shifting of health care costs from those who are uninsured or whose insurers pay very little (such as Medicare) to other payers, usually those who don't have the advantage or large managed care or government-negotiated discounts.
Shifting cost increases or decreases to classes of customers, e.g., to residential from industrial or to commercial from residential.
Transferring a financial liability from a party that normally incurs that cost to another party, including government and other organisations. Cost shifting applies to the transfer of those costs that organisations: might reasonably be expected to make provision for, or already receive funding from other agencies or sources.
The redistribution of payment sources. Typically, cost shifting occurs when a discount on provider services is obtained by one payer, and the providers increase costs to another payer to make up the difference.
A practice employed by some health care providers of charging persons who are insured or otherwise able to pay amounts beyond the normal costs of the care provided. These extra charges are to cover losses from treating others under plans that do not pay the full costs of care or who are uninsured and unable to pay any or all of the costs of their care.
The practice by which a seller of a health service, such as a hospital, increases charges for some payers to offset losses due to uncompensated or indigent care or lower payments from other payers.
the act in which a provider compensates for decreased revenues from one payer by increasing charges to another payer.
One group of patients pays more in order to make up for underpayment by others. In the past, privately insured patients paid more in order to make up for underpayment by Medicaid and Medicare and for those who cannot pay at all. With privately insured patients receiving managed care contractual discounts, this is rapidly changing. All patients are "charged" the same for the same product or service yet some "pay" more or less than others.
Charging one group of patients more in order to make up for underpayment by others. Most commonly, charging some privately insured patients more in order to make up for underpayment by Medicaid or Medicare.
The increased cost of medical care to other patients to make up for losses incurred in providing care to patients who are underinsured or who have no coverage.
Common result when a payer, such as Medicare, does not pay the full cost of health care services. Providers then increase prices to individuals and insurers to make up the difference.