A B C D E F G H I J L M N O P Q R S T U V W Y

per capita cap

A proposed method of federal Medicaid funding in which the federal government sets a limit on funding per state enrollee. This method does provide additional funding if enrollment increases, but not if average costs per enrollee increase.

personalized medicine

A medical model that emphasizes the customization of health care to the individual patient. Personalized medicine commonly denotes the use of some kind of technology or discovery that allows a level of personalization that was not previously feasible. Currently, the...

pharmacy benefit manager

Insurers and employers contract with these companies to manage the prescription drug benefit for enrollees or employees. The vast majority of managed care plans use PBMs.

Physician Quality Reporting Initiative

Authorized through the Medicare, Medicaid, and SCHIP Extension Act of 2007, it offers a financial incentive for health care professionals to report on the quality of care that they provide.