Word of the day

Sunday, December 1

Pay or Play

Colloquial term for an ACA provision requiring employers to offer health insurance or pay a fine.

Saturday, November 30

Medical Fraud Control Units (MFCU)

A statewide program by the U.S. Department of Health and Human Services that focuses on the investigation and prosecution of health care providers that defraud the Medicare program.

Medical Loss Ratio (MLR)

The percentage of health insurance premium dollars an insurer spends on reimbursement for clinical services and activities to improve health care quality. The Affordable Care…