Health insurance

Health insurance

Industry: Insurance

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Health insurance

PCP capitation

Health care; Managed care

A reimbursement system for health care providers of primary care services that receive a prepayment every month. The payment amount is based on age, sex, and plan of every member assigned to that ...

confidential risk report

Health care; Managed care

A report on the suitability of an insurance risk based on an investigation of physical and moral hazards.

A report prepared by the President’s Advisory Commission on Consumer Protection and Quality in the Health Care Industry in an effort to ensure the security of patient information, promote health care ...

lag study

Health care; Managed care

A report that tells managers how old the health claims are that are being processed and how much is paid out each month and compares it to the amount of money that was accrued for expenses each ...

maintenance of effort (MOE)

Health care; Managed care

A requirement of the Medicare catastrophic coverage act that affects employers with plans that duplicate 50% or more of the new catastrophic benefits. Under MOE, they have to maintain their effort by ...

regenstrief institute

Health care; Managed care

A research foundation for improving health care by optimizing the capture, analysis, content, and delivery of health care information. Regenstrief maintains the logical observation and identifier ...

clean-up fund

Health care; Managed care

A reserve intended to cover the medical costs of a last illness, burial expenses, probate charges, miscellaneous outstanding bills, etc. Also, Clearance Fund.