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Annual Coverage Limits

Limits on the dollar amount of treatment an individual can receive in a year, imposed by insurance providers. The ACA outlawed dollar based limits but allows limits on total number of treatments.

Anti-Injunction Act

Americans cannot challenge a tax until after they have paid it; in reference to court challenges to PPACA.

Association Health Plan (AHP)

Health insurance plans that are extended to members of an association and marketed to members and small businesses individually. These plans can be affected by state and/or federal regulations or can be exempt from regulations altogether. The regulations can be affected by how the plans are structured, whom they are sold to, and whether they are state-based or national associations.

Authorization

Pre-approval from an insurance provider for routine medical care.

Automated Provider Screening (APS)

Meant to pull out ineligible providers before a patient enrolls or submits a claim.

Automatic Enrollment

Provision of the ACA requiring organizations with more than 200 full time employees to enroll all new full-time employees in a health plan.

Average Length of Stay (ALOS)

This refers to how long, on average, patients are inpatients in a hospital. This can sometimes be used as a measure of efficiency, but it is not necessarily correlated with quality of care.

Duplicate Coverage

A situation that arises when an individual is covered by multiple health plans.