Word of the day View More

Thursday, April 17

Staff Model HMO

A form of HMO in which the health care providers are employees of the HMO.

Wednesday, April 16

Tertiary Care

The level of care, usually on referral from primary or secondary medical care personnel, performed by specialists that consist of complex procedures and advanced technology, often delivered in a medical facility.

Tuesday, April 15

Medicaid Expansion

The Affordable Care Act allows states to extend Medicaid benefits to eligible childless adults up to 133% of the federal poverty line.

Monday, April 14

Adjudication

Administrative process for reviewing insurance claims

Friday, April 11

Platinum Plan

The highest actuarial level health plans available through the insurance exchanges, equal to a 90 percent actuarial value. Bronze, Silver, and Gold plans offer lower actuarial values.

Center for Consumer Information and Insurance Oversight (CCHIIO)

An agency that helps to enforce provisions related to private health insurance from the Affordable Care Act.