Glossary of Elder Care Terms

(click on item for definition)
bulletAccess
  
bulletAcute Care
  
bulletAggregate Indemnity
 
bulletAid to Families with  Dependent Children (AFDC)
 
bulletAlliance
 
bulletAll-payer System
 
bulletAmbulatory Care
 
bulletAncillary Services 
 
bulletBeneficiary
 
bulletBenefits
 
bulletBlue Cross/Blue Shield
 
bulletBoard Certified
 
bulletBoard Eligible
 
bulletCafeteria Plan
 
bulletCapitation
 
bulletCare Guidelines
 
bulletCarrier
 
bulletCarve-out
 
bulletCase Management
 
bulletCatastrophic Health Insurance
 
bulletCHAMPUS (Civilian Health and Medical Program of the Uniformed Services)
 
bulletChronic Care
 
bulletChronic Disease
 
bulletClaims
 
bulletCOBRA (Consolidated Omnibus Budget Reconciliation Act of 1985)
 
bulletCo-insurance
 
bulletCooperatives/Co-ops
 
bulletCo-pay
 
bulletCost Containment
 
bulletCost Sharing
 
bulletCost Shifting
 
bulletCoverage
 
bulletCovered Services
 
bulletDeductible
 
bulletDiagnostic Related Groups (DRGs)
 
bulletDirect Access
 
bulletDisease Management
 
bulletDisposable Personal Income
 
bulletEarly and Periodic Screening, Diagnosis,
 and Treatment Program (EPSDT)
 
bulletElective
 
bulletEmergency 
 
bulletEmployee Retirement Income Security Act (ERISA)
 
bulletEmployer Contribution
  
bulletExclusions
 
bulletExclusive Provider Organizations (EPO) /Exclusive Provider Arrangement (EPA)
 
bulletFederal Employee Health Benefit Program (FEP)
 
bulletFee-for-Service
 
bulletFirst Dollar Coverage
 
bulletFlex plan
 
bulletFormulary
 
bulletGag Clause
 
bulletGatekeeper
 
bulletGeneral Practice
 
bulletGlobal Budgeting
 
bulletGroup Insurance
 
bulletGroup Model HMO
 
bulletGuaranteed Issue
 
bulletHealthcare Benefits
 
bulletHealthcare Financing Administration (HCFA) 
 
bulletHealth Insurance
 
bulletHealth Insurance Portability and Accountability Act (HIPAA)
 
bulletHealth Insurance Purchasing Cooperatives (HIPCs)
 
bulletHealth Maintenance Organization (HMO)
 
bulletHealth Plan Employer Data and Information Set (HEDIS)
 
bulletHome Healthcare
 
bulletHospice Care
 
bulletIndemnity Insurance
 
bulletIndependent Practice Association (IPA)
 
bulletIndigent Care
 
bulletIn-patient
 
bulletIntegrated Delivery System (IDS)
  
  		   
bulletIntegrated Provider (IP)
  
bulletJoint Commission on the Accreditation of Healthcare Organizations (JCAHO)
  
bulletLimitations
 
bulletLimited Service Hospital
 
bulletLong-term Care
 
bulletMalpractice Insurance
 
bulletManaged Care
 
bulletMandate
 
bulletMeans Test
 
bulletMedicaid
 
bulletMedical IRAs
 
bulletMedically Indigent
 
bulletMedicare
 
bulletMedicare Supplements or Medigap
 
bulletMember
 
bulletNational Committee on Quality Assurance (NCQA)
 
bulletNetwork
 
bulletNon-contributory Plan
 
bulletNon-participating Provider
 
bulletNurse Practitioner
 
bulletOpen Enrollment Period 
 
bulletOpen Panel
 
bulletOut of Pocket Costs or Expenditures
 
bulletOutcomes
 
bulletOut of Pocket Maximum
 
bulletOutpatient Care
 
bulletParticipating Physician or Provider
 
bulletPayer
 
bulletPeer Review Organization (PRO or PSRO)
 
bulletPercent of Poverty
 
bulletPhysician Assistant
 
bulletPhysician Hospital Organizations (PHOs)
 
bulletPlay or Pay
 
bulletPoint of Service (POS)
 
bulletPortability
 
bulletPostnatal Care
 
bulletPre-authorization
 
bulletPre-existing Condition
 
bulletPreferred Provider Organization (PPO)
 
bulletPremium
 
bulletPremium Cap
 
bulletPremium Tax
 
bulletPrepaid Group Practice
 
bulletPreventive Care
 
bulletPrimary Care
 
bulletPrimary care provider (PCP)
 
bulletPrivate Insurance
 
bulletProvider
 
bulletProvider-Sponsored Organization (PSO)
 
bulletQuality Assessment
 
bulletQuality Assurance and Quality Improvement
 
bulletQuality Improvement Organization (QIO)
 
bulletQuality of Care
 
bulletRate Setting
 
bulletReferral System
 
bulletReimbursement 
 
bulletRisk
 
bulletSelf-insured
 
bulletSingle Payer System 
 
bulletSocialized Medicine
 
bulletStaff Model HMO
 
bulletStandard Benefit Package
 
bulletThird Party Administrator (TPA)
 
bulletThird Party Payer
 
bulletUncompensated Care
 
bulletUnderinsured
 
bulletUnderwriting
 
bulletUninsured
 
bulletUniversal Coverage
 
bulletUtilization Review
 
bulletUtilization
 
bulletVertical Integration
 
bulletWaiting Period
 
bulletWithhold
 
bulletWorker's Compensation Coverage
 

 
 
Call, , or use our convenient on line Request Info form for additional information about Professional Parent Care, and the eldercare services we offer.

 

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Professional Parent Care, Inc.
Southfield, MI

Call Toll Free:(800) 227-9553

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Last modified: 02/09/05,     By LR\LaurieGabrys

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