20 Terms
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Managed care
A health care practice intended to streamline services and provide high quality, cost-effective care.
Industry: Health care
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Managed care
health plan employer data and information set (HEDIS)
Health care; Managed care
A set of standardized performance measures designed to ensure that purchasers and consumers have the information they need to reliably compare the performance of managed health care plans. The ...
logical observation identifiers, names, and codes
Health care; Managed care
A set of universal names and ID codes that identify laboratory and clinical observations. These codes, which are maintained by the Regenstrief Institute, are expected to be used in the HIPAA claim ...
periods of care
Health care; Managed care
A set period of time for hospice care aft er a doctor’s statement of eligibility.
special election period
Health care; Managed care
A set time limit to change health plans or return to the original Medicare plan. The special election period is different from the special enrollment period (SEP).
special enrollment period (SEP)
Health care; Managed care
A set time to sign up for Medicare Part B if not elected during the initial enrollment period, because of group health plan coverage through an employer or union.
developmental disability (DD)
Health care; Managed care
A severe, chronic disability that is attributable to a mental or physical impairment or combination of mental and physical impairments; is manifested before the person attains age 22; is likely to ...
trust fund ratio
Health care; Managed care
A short-range measure of the adequacy of the trust fund level; defined as the assets at the beginning of the year expressed as a percentage of the expenditures during the year.
