S

Skilled Nursing Facility (SNF)

A health care facility that provides rehabilitation and skilled nursing care.

Small Business Health Options Program (SHOP)

Similar to the individual market exchanges (or marketplaces) the SHOP exchanges allow small businesses to select health plans for their employees (or contribute to employee selected health plans). As with the individual market exchanges, the SHOP exchanges can be run by the federal government or by the individual states.

Small Business Tax Credits

Tax credit offered to small business (maximum of 25 employees, average wages under $50,000) that choose to provide employee health coverage

Small Group Market

Insurance products sold to small groups (fewer than 100 people generally); could be small companies, or small associations, unions, etc…

Sole Community Hospital (SCH)

A designation for certain hospitals that allows them to command higher reimbursement.

Specialists

Health care providers that focus on a single medical concern - be that a single disease (as in an oncologist for cancer), a single body part (as in a podiatrist for feet), or an age group (as in a pediatrician for children).

Staff Model HMO

A form of HMO in which the health care providers are employees of the HMO.

Standard Benefit Package

The set of benefits available to all enrollees in a particular health plan.

Status Change

Life changes that allow an individual to make changes to their health coverage outside of the standard open enrollment period. Common examples include marriage, divorce, or childbirth.

Subsidy

Refers to a monetary assistance granted by a government to assist an industry, business, or individual so that the price of a commodity or service may remain low or competitive.

Experience Rating

Refers to setting premiums based on past costs for that individual or group, as a method of estimating future costs.