A managed care plan that combines the function of insurer and provider to give members comprehensive health care from a network of affiliated providers. Enrollees typically pay limited copayments and are usually required to select a primary care physician through whom...
A type of Health Savings Account for Medicaid beneficiaries created by the Deficit Reduction Act of 2005.States may deposit annual sums of up to $2,500 per adult and $1,000 per child into the account, to be used to pay for medical expenses not covered by the high...
A set of standardized measures of health plan performance allowing comparisons of quality, access, patient satisfaction, membership, utilization, finance and health plan management. HEDIS was developed by employers, health maintenance organizations and the National...
A geographic area determined by the U.S. Public Health Service to have a shortage of physicians and other health professionals. Physicians who provide services in HPSAs qualify for a Medicare bonus payment or student loan forgiveness.
A type of health insurance plan also known as “health reimbursement account” or “personal care account,” HRAs are tax-preferred accounts with funds established by employers to reimburse employees for qualified medical expenses; often HRAs are...