Word of the day

Thursday, May 28

Bundling

Paying for treatment for a medical condition as a single lump sum payment rather than a per-treatment or per-provider payment.

Wednesday, May 27

Occupational Therapy

Treatment and rehabilitation that helps a patient perform meaningful activities of daily life.

Thursday, May 21

Member

A term for an individual with health coverage, also called policy holder, beneficiary or enrollee

Wednesday, May 20

Well-woman Examination/Visit

A preventive service or exam offered to women to review elements of their reproductive health including a breast examination, pelvic examination and a pap smear.

Monday, May 18

Direct Access

A provision of some health insurance plans that allows policy holders to see doctors or specialists without a referral from a primary care physician or 'gatekeeper.'

Thursday, May 14

Individual Mandate

Refers to a requirement in the Affordable Care Act that all individuals obtain health insurance.

Monday, May 11

Catastrophic Health Insurance

A type of insurance plan that covers healthcare costs only after a high deductible is reached.

Friday, May 8

Accountable Care Organization (ACO)

A group of healthcare providers that come together to provide the full range of healthcare services for patients. The provider organization is responsible for the quality and price of the care and receives payment for all care that is provided to patients. Organizations are given financial incentives, such as allocated savings attained from these efforts, in order to promote the improvement the quality and price through the Medicare program.

Tuesday, May 5

Residual Coverage

Insurance that continues to pay a portion of an individual's disability payments if they are able to return to work in a limited capacity.

Monday, May 4

Biosimilar Biological Products

The generic version of more complicated medications.

Self-Insured Plan

Refers to a plan where the employer responsible for the costs of the enrollees' medical claims.