An optional Medicaid category in which states can cover individuals and families who qualify for coverage because of high medical expenses, usually hospital or nursing home care. To qualify, individuals must be categorically eligible and their monthly incomes minus...
Designations that identify areas and populations that have too few primary care providers, high infant mortality, high poverty and/or high elderly population. MUAs and MUPs involve the application of the Index of Medical Underservice to a service area or population...
Federal health insurance program for virtually all persons age 65 and older, and permanently disabled persons under age 65, who qualify by receiving Social Security Disability Insurance. (See chapter on Medicare.)
This bipartisan legislation repealed the Sustainable Growth Rate (SGR) Formula that has determined Medicare Part B reimbursement rates for physicians and replaced it with a new system where participating providers are paid based on the quality and effectiveness of the...
A part of Medicare designed to offer beneficiaries a choice of managed care and other private plan options. Also called Part C of Medicare, Medicare Advantage encompasses health maintenance organizations (HMOs), preferred provider organizations (PPOs), Medicare HSAs,...