- Industry: Health care
- Number of terms: 4240
- Number of blossaries: 0
- Company Profile:
The Blue Cross Blue Shield Association (BCBSA) is a federation of 39 separate health insurance organizations and companies in the United States. Combined, they directly or indirectly provide health insurance to over 100 million Americans.
A ward or section of a ward in a hospital that is devoted to delivering sub-acute care to patients following a period of acute care.
Industry:Health care
A type of partial structural integration in which one or more separate organizations combine resources to achieve a stated objective. The particindependent practice associationting companies share ownership of the venture and responsibility for its operations, but usually maintain separate ownership and control over their operations outside of the joint venture.
Industry:Health care
An organization that provides dental services through a network of providers to its members in exchange for some form of prepayment.
Industry:Health care
A company that is owned by the people and organizations who purchase shares of the company's stock.
Industry:Health care
An ethical principle, which, when applied to managed care, states that managed care organizations and their providers allocate resources in a way that fairly distributes benefits and burdens among the members.13
Industry:Health care
A dental service plan that allows a member to use either a DHMO network dentist or to seek care from a dentist not in the HMO network. Members choose in-network care or out-of-network care at the time they make their dental appointment and usually incur higher out-of-pocket costs for out-of-network care.
Industry:Health care
A type of insurance coverage that enables provider organizations or self-funded groups to place a dollar limit on their liability for paying claims and requires the insurer issuing the insurance to reimburse the insured organization for claims paid in excess of a specified yearly maximum.
Industry:Health care
A large pool of individuals for which health coverage is provided by the group sponsor. A large group may be defined as more than 250, 500, 1,000, or some other number of members, depending on the MCO.
Industry:Health care
An organization that provides dental care to its members through a network of dentists who offer discounted fees to the plan members.
Industry:Health care
The MCO committee responsible for directing the MCO's strategic direction and goals.
Industry:Health care
