A single marketplace facilitating the buying and selling of private health insurance. The Affordable Care Act (ACA) called for the creation in every state of exchanges through which individuals who are U.S. citizens or legal residents, and businesses, can buy...
A 1996 federal law that provides some protection for employed persons and their families against discrimination in health coverage based on past or present health. Generally, the law guarantees the right to renew health coverage, but does not restrict the premiums...
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...