diagnosis-related groups (DRG)

See the following -

Implementing Insurance Exchanges — Lessons from Europe

Ewout van Ginneken and Katherine Swartz | New England Journal of Medicine | August 23, 2012

State-based health insurance exchanges are a key component of the health care reforms included in the Affordable Care Act (ACA). Starting in January 2014, each state's exchange will provide a marketplace where individuals and small employers can compare and purchase health plans. The idea is both to expand health insurance coverage and to foster competition among insurers, thereby promoting cost containment. Read More »