Word of the day View More

Tuesday, September 30

Dual Eligibles

Medicare Part A and/or B recipients who either qualify for Medicare Savings Program or qualify for Medicaid benefits.

Monday, September 29

Risk Corridor

Provision designed to manage unpredictability in the insurance market. Plans with lower than anticipated costs are required to pay a portion of their savings into a fund designated to help plans with higher than anticipated costs.

Friday, September 26

Health Insurance Exchange

A health insurance exchange is a market where a individuals select their health insurance coverage. Exchanges can be private, like those used by private companies for their employees, or they can be public, like the ACA’s state-based insurance exchanges that allow individuals to select coverage and receive income-based subsidies if they qualify.

Thursday, September 25

Post-acute Care

Medical care provided after serious hospitalization (examples include: rehabilitation, long-term care).

Wednesday, September 24

Premium Tax’

Fee levied on health insurance companies

Capitation

A payment based on the individual (for a set period of time) rather than a per-service payment. Insurance plans tend to pay a physician network…