P

Prepaid Group Practice

A form of insurance in which the health care provider is paid a preset amount, in advance, for their services.

Prescription Drug Discount Card Program

A program developed by the Medicare Modernization Act of 2003 that offers eligible Medicare beneficiaries access to discount prices (10 to 25 percent) on a variety of prescription drugs. The program offers certain low-income individuals a $600 per year subsidy towards drug coverage.

Presumptive Eligibility for Medicaid

A provision that allows providers to treat (and be reimbursed for) patients who they presume to be eligible for Medicaid, even if that patient is not yet enrolled (or is later deemed ineligible).

Prevention and Public Health Fund

A fund created by the Affordable Care Act and managed by HHS, charged with supporting public health and disease prevention programs.

Preventive Care

Care that focuses on early detection and prevention of diseases; the ACA mandates that certain preventive care services be covered with no cost-sharing.

Primary Care

Care given at the initial point of contact with the health care system - usually a general practitioner or family physician. This provider may then coordinate with other professionals (surgeons, specialists, etc.).

Primary Care Physician (PCP)

A physician, who is responsible for coordinating and providing primary care for patients.

Primary Care Provider

A provider, usually a physician, who is responsible for coordinating and providing primary care for patients.

Profit and Loss (P&L)

The revenues, costs and expenses incurred during a specific period of time, usually a fiscal quarter or year.

Prospective Payment Systems (PPS)

A Medicare payment plan including pre-determined payment rates based on a patient's diagnosis or level of resource utilization. All Medicare providers are reimbursed under this plan through either a scheduled fee or prospective payment system.

Outpatient Care

Care delivered in a hospital or clinic, but for which the patient is not required to stay more than 24 hours.