Established under the Affordable Care Act (ACA), a program that makes Medicare bonus payments to primary care physicians for primary care services. The ACA extablished that a typical office-based, general internist who qualifies for the bonus would get approximately...
A Medicaid managed care program in which an eligible individual may use services only with authorization from his or her assigned primary care provider. That provider is responsible for locating, coordinating, and monitoring all primary and other medical services for...
A provider, usually a physician, specializing in internal medicine, family practice, pediatrics, or geriatrics (but can also be a nurse practitioner, physician assistant or health care clinic), who serves as the patient’s first point of contact with the health...
A program for people who are eligible for Medicaid or Medicare, or both; age 55 or older; live in a PACE organization service area; are eligible for nursing home care, and are able to live safely in the community. It allows eligible persons to meet health care needs...
A method used by Medicare to pay for many services, including inpatient and outpatient hospital services as well as services provided at skilled nursing and rehabilitation facilities. Payment rates are linked to diagnosis and determined before services are rendered,...