by Abraham Whaley | Apr 3, 2012 | Definitions
This is a voluntary medication benefit program that started in 2006. Participants with a standard plan have 75 percent of their drug costs covered until they reach a cost of $2,830. Any expense higher than this is paid out of pocket until the cost reaches $4,550. Once...
by Abraham Whaley | Apr 3, 2012 | Definitions
This is the fraction of the collected insurance premium revenue dedicated to providing health services and improving the quality of care compared to the total revenue that includes expenditure for business administration, marketing, and profit.
by Abraham Whaley | Apr 3, 2012 | Definitions
The 2009 Health Information Technology for Economic and Clinical Health Act (HITECH Act) is part of the American Recovery and Reinvestment Act (ARRA) which included funding for Medicare and Medicaid incentives for the ‘Meaningful Use” (MU) of certified electronic...
by Abraham Whaley | Apr 3, 2012 | Definitions
An integrated delivery system (IDS) is a network of healthcare providers and organizations that provide or arrange to provide a coordinated continuum of services. Services provided by an IDS can include a fully equipped community and/or tertiary hospital, home...
by Abraham Whaley | Apr 3, 2012 | Definitions
For people unable to receive health coverage through their employer or the government, the Affordable Care Act legislation will create a competitive marketplace for buying coverage from insurers at the state-specific level.
by Abraham Whaley | Apr 3, 2012 | Definitions
These programs are established to reward providers of care for better results. They require the care-providing organizations have a system of accurate measurements to gauge performance (i.e., a hospital measuring readmission rates). If the organization achieves...
