Skip to main content

Currently Skimming:

Appendix E: Glossary
Pages 143-148

The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.


From page 143...
... Over time, as plan premiums rise as a result of higher enrollee health care costs, the plan becomes less attractive to relatively healthy potential enrollees, attracting relatively sicker enrollees disproportionately in successive enrollment cycles, which results in spiraling costs. Ambulatory care-sensitive condition (ASC)
From page 144...
... Creditable coverage In the context of health plan eligibility, prior health care coverage that is taken into account when determinng the allowable length of preexisting condition exclusion periods (for individuals entering group coverage) or when determining an individual's Health Insurance Portability and Accountability Act (HIPAA)
From page 145...
... Health care organization Entity that provides, coordinates, and/or insures health and medical services for people. Health insurance Financial protection against the health care costs arising from disease, accidental bodily injury, or the direct provision of health care (as in some health maintenance organizations)
From page 146...
... to cover all additional administrative costs and contingencies of issuing the policy, including any profit for the insurer. Managed care Term used broadly to describe health care plans that add utilization management features to indemnity-style coverage or, more narrowly, to identify group or network-based health plans that have explicit criteria for selecting providers and financial incentives for members to use network providers, who generally must cooperate with some form of utilization management.
From page 147...
... Primary care The provision of integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community (Institute of Medicine, 1996~. Quality of care Degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge (IOM, 1990~.
From page 148...
... involved in the financing of personal health care services. Uncompensated care Health care rendered to persons unable to pay and not covered by private or government health insurance plans; includes both unbilled charity care and bad debts (services billed but not paid)


This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More information on Chapter Skim is available.