S

Sunset Date

The expiration date of a law or government program.

Supplemental Medical Insurance (SMI) Trust Fund

Pays for Medicare Part B and Part D and funding via patient premiums and general revenue.

Sustainable Growth Rate (SGR)

A target growth rate for Medicare spending enacted by law in 1997 that, if exceeded, is supposed to trigger physician payment cuts. The SGR-triggered cuts are continuously delayed and “pushed back” year after year.

Vertical Integration

Control of a large portion of the supply chain for a product. As it applies to health care, companies might control insurance, hospitals, and clinics.