A provider’s bill to a covered person for charges above the amount paid by the health plan or insurer. In some cases this is because a provider is not part of the insurer’s network.
Beginning in 2015 under the Affordable Care Act (ACA), states have the option to create a basic health program to provide coverage to individuals with incomes between 133 and 200 percent of the federal poverty level, in lieu of having these individuals get coverage...
Goals set as a way for hospitals and doctors to analyze quality data, both internally, and against data from other hospitals and doctors to identify best practices of care and improve quality.