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Accountable Care Organization (ACO)

A group of healthcare providers that come together to provide the full range of healthcare services for patients. The provider organization is responsible for the quality and price of the care and receives payment for all care that is provided to patients. Organizations are given financial incentives, such as allocated savings attained from these efforts, in order to promote the improvement the quality and price through the Medicare program.

Redetermination

The process wherein individuals that are currently enrolled in an exchange plan (either state or federal) must re-establish their eligibility on an annual basis.