The Accountable Care Organization

An Accountable Care Organization (ACO) is a care-delivery model in which physicians, specialists, and hospitals are aligned in providing efficient and effective care for a patient population. Instead of the present fragmented, fee-for-service delivery of care, this...

Telehealth

Telehealth is the practice of using electronic information systems with telecommunications technology to support the long-distance delivery of care. The practice of telehealth gives care providers the ability to diagnose, receive, and transfer appropriate health data,...

Risk Pool

If individuals had to pay for their healthcare costs each year without insurance, some families would become bankrupt when faced with a catastrophic illness and a very large medical bill. The insurance industry was born to help large groups of people share the risk...

Preventive Services

Preventive care services have a threefold purpose. They can reduce health risks by engaging in wellness promotion. They can promote screening or testing to ensure early detection and diagnosis of conditions, and they can provide interventions to prevent disabilities,...

Pre-existing Conditions

Pre-existing conditions are health concerns that exist prior to an individual’s enrollment in a health plan. Historically, illness burden has precluded an individual from qualifying for coverage or finding affordable rates.