Health insurance that provides protection against the high cost of treating severe or lengthy illnesses. Such policies cover all or most medical expenses above a relatively high specified amount.
Medicaid’s eligibility pathway for individuals who can be covered. The program’s 25+ categories have been organized into five broad groups – children, pregnant women, adults in families with dependent children, individuals with disabilities and the...
Created by the Affordable Care Act (ACA) to ensure compliance with the new insurance market rules, this agency of the U.S. Dept. of Health and Human Services oversees the medical loss ratio rules and assists states in reviewing insurance rates. In addition, it...
Congress created the “Innovation Center” as part of the Affordable Care Act (ACA) to test innovative payment and service delivery models to reduce program expenditures, while preserving or enhancing the quality of care for those who receive Medicare,...
(formerly Health Care Financing Administration, HCFA) The federal agency administers Medicare, Medicaid and the Children’s Health Insurance Program (CHIP).