Medigap insurance policies are sold by private insurance companies to fill “gaps” in fee-for-service Medicare. Except in Minnesota, Massachusetts and Wisconsin, there are 10 standardized policy designs, known as Plans A through J. Plans H, I and J include...
Formerly known as the Mental Health Parity Act (MHPA), an act requiring group health plans with more than 50 employees to ensure that financial requirements and treatment limitations applicable to mental health/substance use disorder benefits are no more restrictive...
A medical condition that disrupts a person’s mental health. Serious mental illnesses include major depression, schizophrenia, and posttraumatic stress disorder.
One of two value-based payment programs created under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). There are four categories that were built from existing quality-reporting programs: quality (based on the Physician Quality Reporting System),...