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Insurance is a promise of compensation for specific potential future losses in exchange for a periodic payment. Insurance is designed to protect the financial well-being of an individual, company or other entity in the case of unexpected loss. Some forms of insurance are required by law, while others are optional. Agreeing to the terms of an insurance policy creates a contract between the insured and the insurer. In exchange for payments from the insured (called premiums), the insurer agrees to pay the policy holder a sum of money upon the occurrence of a specific event. In most cases, the policy holder pays part of the loss (called the deductible), and the insurer pays the rest. Examples include car insurance, health insurance, disability insurance, life insurance, and business insurance.

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Insurance > Medicare & Medicaid

admitting physician

Insurance; Medicare & Medicaid

The doctor responsible for admitting a patient to a hospital or other inpatient health facility.


Insurance; Medicare & Medicaid

The number of existing cases of a disease or condition in a given population at a specific time.

risk adjustment

Insurance; Medicare & Medicaid

The way that payments to health plans are changed to take into account a person's health status.

physical therapy

Insurance; Medicare & Medicaid

Treatment of injury and disease by mechanical means, such as heat, light, exercise, and massage.

affiliated provider

Insurance; Medicare & Medicaid

A health care provider or facility that is paid by a health plan to give service to plan members.

intermediary/program safeguard contractor determination

Insurance; Medicare & Medicaid

A determination as defined in 42 CFR 405.1801 under the definition for Intermediary Determination.

multi-employer plan

Insurance; Medicare & Medicaid

A group health plan that is sponsored jointly by two or more employers or by employers and unions.