Friday, February 7
Patient-centered Care
Model for care delivery that accounts for the needs and preferences of patients and their families.
Wednesday, February 5
Post-acute Care
Medical care provided after serious hospitalization (examples include: rehabilitation, long-term care).
Tuesday, February 4
Monday, February 3
Friday, January 31
Administrative Services Only (ASO)
A type of insurance plan where the employer pays the actual costs of insurance claims while the insurance company is only responsible for administering the plan – occurs when a company is “self-insured.”
Thursday, January 30
Medical Underwriting
Determining acceptance of an applicant for health care insurance based on their medical history. It also determines the terms of the coverage including premium cost and pre-existing condition exclusions. The Affordable Care Act prohibits medical underwriting.
Wednesday, January 29
Unsubsidized Premium
The base price of insurance before applying any credits or adjustments.
Tuesday, January 28
Monday, January 27
Reinsurance
Insurance for insurance providers that have higher than anticipated health care claims. This program seeks to lower the premium insurers charge by limiting the high health costs they are exposed to. The Affordable Care Act establishes a reinsurance program for insurers participating on the exchanges, and if an enrollees costs reaches a certain amount (the “attachment point”) the program with reimburse for a portion of the costs above that amount.