Health insurance

Health insurance

Contributors in Health insurance

Health insurance

A contract between Medicare and a health plan under which the plan receives monthly capitated payments to provide Medicare-covered services for enrollees and thereby assumes insurance risk for those ...

blanket insurance

Health care; Managed care

A contract of health insurance that covers all of a class of persons not individually identified in the contract. A group health insurance policy covering a number of individuals who are not ...

conditionally renewable contract

Health care; Managed care

A contract of health insurance that provides that the insured may renew the contract from period to period or continue the contract to a stated date or an advanced age, subject to the right of the ...

group contract

Health care; Managed care

A contract of insurance made with an employer or other entity that covers a group of persons identified in reference to their relationship to the entity. These identified individuals may include ...

favored nations discount

Health care; Managed care

A contractual agreement between a provider and a payer stating that the provider will automatically provide the payer with the best discount it provides anyone else.

hospital affiliation

Health care; Managed care

A contractual agreement between an HMO and one or more hospitals whereby the hospital provides the inpatient benefits offered by the HMO.

lock-in

Health care; Managed care

A contractual provision by which members, except in cases of urgent or emergency need, are required to receive all their care from the network health care providers.