Thursday, January 23
Portability of Coverage
Refers to individuals having the ability to maintain coverage as they move from one job to another without a waiting period. It could also include coverage for individuals who are not connected to an employer when they have a change in employment.
Wednesday, January 22
Employer Pay-or Play
Requires employers to extend and pay for health benefits for their employees. It could also mean the employer pays a certain dollar amount of the pay roll into a public fund. This fund would then continue as financing for coverage for those who do not have employment-based coverage.
Tuesday, January 21
Quality Assurance and Quality Improvement
A method through which health care providers monitor their services and seek to improve quality of care.
Friday, January 17
Maximum Reimbursable Charge
Dollar limit on health care services, typically only applies to out of network coverage.
Thursday, January 16
Risk Corridor
Provision designed to manage unpredictability in the insurance market. Plans with lower than anticipated costs are required to pay a portion of their savings into a fund designated to help plans with higher than anticipated costs.
Wednesday, January 15
Medicaid Health Homes
Health care facilities designed to offer comprehensive, on-going care for patients with multiple chronic health conditions.
Tuesday, January 14
Current Procedural Terminology (CPT)
A medical code set by the American Medical Association, which describes medical, surgical and diagnostic services. The set is to be communicated among physicians, coders, patients and other relevant parties.
Monday, January 13
Gag Clause
A provision in a contract in which a health care provider is restricted in speaking about an insurer or their financial arrangement.
Friday, January 10
Young Invincibles
A phrase used to describe relatively healthy young adults who often forgo health insurance because they don’t anticipate needing medical care.