Insuring America's Health Principles and Recommendations (2004) / Chapter Skim
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Appendix B: Glossary and Acronyms
Appendix B: Glossary and Acronyms
Pages 172-178
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From page 172... ...
Affinity Group A group of people with a common organizational interest or membership, other than for the purchase of health insurance, for example, membership in a professional society. Benefit The particular services covered by a health plan and the amount payable for a loss under a specific insurance coverage (indemnity benefits)
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From page 173... ...
Cost Sharing The portion of health care expenses that a health plan member must pay directly, including deductibles, copayments, and coinsurance, but not including the premium. Cost Shifting Transfer of health care provider costs that are not reimbursed by one payer to other payers through higher charges for services.
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From page 174... ...
Experience Rating Setting health insurance premiums based in whole or in part on past claims history of a particular group or its anticipated future claims. Federal Poverty Level (FPL)
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From page 175... ...
Integrated Delivery System, Integrated Services Network A group of health care providers and institutions that delivers services across the continuum of care to a target population and is accountable for the financial and clinical outcomes of the services delivered.* Job Lock A distortion in job mobility attributed to employer-provided health insurance when employees keep jobs they would rather leave for fear of losing coverage (from Madrian, 1994~.
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From page 176... ...
Purchasing Pool A group of people who purchase health insurance jointly. Quality of Care The 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~.
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From page 177... ...
An assignable credit can be used by the taxpayer to direct payment of the credit to another party, for example, to an insurer as a premium payment. Tax Expenditure The loss of federal tax revenue due to a special exclusion, exemption, or deduction from gross income in federal tax law, the provision of a special credit or a preferential tax rate, or a deferral of tax liability (U.S.
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From page 178... ...
178 ACRONYMS AALL American Association for Labor Legislation INSURING AMERICA'S HEALTH COBRA Consolidated Omnibus Budget Reconciliation Act of 1985 EMTALA Emergency Medical Treatment and Labor Act of 1986 ERISA Employee Retirement Income Security Act of 1974 FPL Federal Poverty Level (see Appendix A, Table A.1) HIPAA Health Insurance Portability and Accountability Act of 1996 SCHIP State Children's Health Insurance Program TA Trade Act of 2002
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