13 Terms
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Health insurance
Industry: Insurance
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Health insurance
accountable health plan (AHP)
Health care; Managed care
A joint venture between medical practitioners and institutions (insurance companies, HMOs, or hospitals) that would assume responsibility for delivering medical care. Physicians and providers work ...
conflict of interest
Health care; Managed care
A conflict between self-interest and the best interests of a managed care or health insurance plan.
consumer assessment of health plan satisfaction (CAHPS)
Health care; Managed care
A consumer assessment of health plan performance on measures, such as customer service, access to health services, and claims processing.
revolving credit line
Health care; Managed care
A continuous line of credit up to a prenegotiated limit.
administrative services only (ASO)
Health care; Managed care
A contract between a health insurance company and a self-funded plan in which the insurance company performs administrative services only and the self-funded entity assumes all risk. A self-insured ...
partial risk contract
Health care; Managed care
A contract between a purchaser and a health plan, in which only part of the financial risk is transferred from the purchaser to the plan.
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