Health insurance

Health insurance

Industry: Insurance

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Health insurance

Medicare choices demonstration

Health care; Managed care

A demonstration project designed to offer flexibility in contracting requirements and payment methods for Medicare’s managed care program. Participating plans include providersponsored organizations ...

enrolled dependent

Health care; Managed care

A dependent that is enrolled for coverage under the health plan’s contract.

amendment

Health care; Managed care

A description of additional provisions attached to a contract. An amendment is valid only when signed by an officer of a health care insurance company.

before-and-after design evaluation

Health care; Managed care

A design in which only a few before-intervention and aft er-intervention health care measures are taken.

back-up provider

Health care; Managed care

A designated substitute for a primary care provider who will render treatment in the event the primary care provider is not available. The back-up provider performs the same function as the primary ...

fellow of the society of actuaries (FSA)

Health care; Managed care

A designation given to members of the Society of Actuaries, earned by the completion of 10 examinations in mathematics, statistics, insurance, actuarial science, accounting, finance, and employee ...

PPS year

Health care; Managed care

A designation referring to hospital cost reporting periods that begin during a given federal fiscal year, reflecting the number of years since the initial implementation of PPS. For example, PPS1 ...