A health maintenance organization (HMO) that contracts with a single multi-specialty medical group to provide care for HMO members. The HMO compensates the group for contracted services at a negotiated rate, and that group is responsible for compensating its...
A requirement that health plans cannot reject coverage for an applicant based on the person’s medical history. Under the Affordable Care Act (ACA), guaranteed issue for new coverage and guaranteed renewability for existing coverage is the law of the land as of...
In 1984, Congress enacted the Hatch-Waxman Act to spur the development of lower-cost generic drugs. The act provided manufacturers of innovative prescription drugs with patent protection and a period of marketing exclusivity, created a generic drug approval process to...
A non-profit, member-run health insurance organization, governed by a board of directors elected by its members. Co-ops provide insurance coverage to individuals and small businesses and can operate at state, regional, and national levels. The ACA contains loans and...
Awarded by the Center for Medicare and Medicaid Innovation to organizations that are carrying out the most inventive ideas to deliver better health, improved care and lower costs to people enrolled in Medicare, Medicaid, and CHIP.