Government Plans
Insurance provided by the government, I.E medicaid, medicare, CHIP, tricare.
What is Government Plans?
A responsibility of all Healthcare professionals in using their resources.
What is Resource Utilization?
Insurance done by a for-profit institution.
What is Private Insurance?
Payment to an insurance provider before receiving coverage.
What is a deductible?
Insurance provided to military personnel and veterans.
What is TRICARE?
Patients who are grouped up for easier payment based on their age range and conditions/diseases.
What are Diagnostic Related Groups?
Institutions who receive funding from federal, state or local taxes.
What is government institutions?
Approval from a PCP to visit a specialist, needed to receive insurance coverage for the specialist visit.
What is a referral?
Health insurance for children provided by the government.
What is CHIP?
2010 Act to expand Medicaid ranges, insurance marketplaces and protecting people with preexisting conditions.
What is the Affordable Care Act, (ACA) OR Obamacare?
For-Profit facilities owned by corporations.
What is a proprietary institution?
A healthcare professional who has signed a contract with the insurance company.
What is a In-Network Provider?
Plan federally funded for older American (65+).
What is Medicare?
A medicare based program that reduces payment to hospital if patient readmits in 30 days.
What is Hospital Readmission Reduction Program?
Non-profit healthcare organizations and centers.
What is Federally Qualified Healthcare Centers?
When the healthcare professional has not signed a contract with the insurance provider.
What is a out-of-network provider?
Low income people are eligible for this government plan.
What is Medicaid?
Reform where workers formed groups that would pay if a worker was unable to work.
What is fraternal organizations, mutual aid, or sickness funds?
Groups of healthcare providers come together to give quality care.
What is Accountable Care Organizations?
care provided to prevent further development or future development of diseases.
What is preventative care?