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Medicaid Waivers

Ability of the Secretary of Health and Human Services to allow a state to continue obtaining Medicaid funds when it is no longer compliant with requirements of Medicaid statute. States seek Medicaid waivers when experimenting with innovative services and payment reforms.

Physician-Hospital Organization (PHO)

Organizations, either legal or informal, that link hospitals with their medical staff. PHOs can be open or closed to any member based on qualifications.