7 Terms
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Health insurance
Industry: Insurance
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Health insurance
named peril policy
Health care; Managed care
A health insurance policy, such as cancer, where named perils are listed.
coinsurance (percentage participation)
Health care; Managed care
A health insurance principle under which the company insures only part of the potential loss, with the insured paying the other part. For instance, in a major medical policy, the company may agree to ...
recurrent hospitalization provision
Health care; Managed care
A health insurance provision that specifies a period of time (usually 6 months) during which the recurrence of a disability from an accident or sickness is considered a continuation of the prior ...
health plan purchasing cooperative (HPPC)
Health care; Managed care
A health insurance purchasing entity advanced by some health system reform proposals to enroll individuals, collect premiums, purchase enrollees’ insurance from participating health plans, and ...
managed competition
Health care; Managed care
A health insurance system that bands together employers, labor groups, and others to create insurance purchasing groups; employers and other collective purchasers would make a specified contribution ...
net profits
Health care; Managed care
A health insurance term broadly used to describe only the profits remaining aft er including all earnings and other income or profit and aft er deducting all expenses and charges of every character, ...
external quality review program
Health care; Managed care
A health insurance, managed care, or HMO initiative for determining the quality of medical care provided to plan members, by outside review organizations.
