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Gatekeeper

A colloquial term for a primary care physician who is responsible for coordinating patient care and referring the patient to specialists. Many insurance programs, particularly HMOs, require a referral from a "gatekeeper" before covering visits to specialists.

Improper Payments Information Act (IPIA)

Requires agencies to distinguish programs and activities susceptible to improper payments each year. They must also estimate the amount of overpayments or underpayments. Each year…