Providers
This category of providers generally includes family medicine, internal medicine, and general pediatrics, but may include OB/GYN and Geriatricians
Primary Care Providers
Federally funded nonprofit health centers or clinics that serve medically underserved areas and populations, providing primary care services on a sliding scale fee based on your ability to pay
Federally Qualified Health Center
Reimbursement made based on a predetermined, fixed amount; the payment amount for a particular service is derived based on the classification system of that service
Prospective Payment System
A facility for the diagnosis and treatment of mental illness on a 24-hour basis, by or under the supervision of a physician
Psychiatric Facility
Insurance program that provides free or low-cost health coverage to some low-income people, families and children, pregnant women, the elderly, and people with disabilities
Medicaid
Includes but not limited to nurse practitioners, nurse midwives, nurse anesthetists, clinical nurse specialists and physician assistants
Advance Practice Provider or Midlevel Provider
Federally certified facilities designed to improve access to primary and preventative medical care in rural and medically underserved communities with payment on a cost-related basis
Rural Health Clinic
Groups of doctors, hospitals, and other health care professionals that work together to give patients high-quality, coordinated service and health care, improve health outcomes, and manage costs
Accountable Care Organizations
Provides short-term relief for primary caregivers that can be can be arranged for an afternoon, days or weeks and can be provided at home, in a facility, or at an adult day center
Respite Care
Insurance program administered by the federal government, for people who are aged 65 and over, and those permanently physically disabled or who have a congenital physical disability
Medicare
State licensed/certified individual who provides out of hospital emergency medical care and transportation for critical and emergent patients who access the emergency medical services system
Emergency Medical Technician (EMT)
Federal designation of a facility that has no more than 25 beds, is at least 35 miles from the nearest hospital, maintains an annual average length of stay of 96 hours or less, and provides 24/7 emergency services
Critical Access Hospital
Alternative and potential replacement for fee-for-service reimbursements based on quality rather than quantity
Value Based Care
A program that allows critical access hospitals to use beds for acute care or post-hospital skilled nursing facility care
Swing Beds
A type of managed care health insurance plan that usually limits coverage to care from doctors who work or contract in-network, and out-of-network care is generally not covered, except for true emergencies.
Health Maintenance Organization (HMO)