Tweet This

Reinsurance

Insurance for insurance providers that have higher than anticipated health care claims. This program seeks to lower the premium insurers charge by limiting the high health costs they are exposed to. The Affordable Care Act establishes a reinsurance program for insurers participating on the exchanges, and if an enrollees costs reaches a certain amount (the “attachment point”) the program with reimburse for a portion of the costs above that amount.

Health Plan Employer Data and Information Set (HEDIS)

Information provided by the National Committee for Quality Assurance to help insurance companies and employers track health care trends.