The Affordable Care Act (ACA) mandates guidelines for qualifying events, special enrollment periods, and aims to ensure accessible, continuous health insurance coverage in the United States.
An extensive overview of Activities of Daily Living, including historical context, categories, key events, detailed explanations, applicability, examples, and more.
Exploring the definition, history, types, key events, and importance of assisted living facilities, including detailed explanations, relevant models, charts, and applicability.
Bioequivalence refers to the property wherein no significant difference is found in the bioavailability of two drugs, ensuring they have the same effect on the body.
A Business Associate refers to any person or entity that performs functions or activities involving the use or disclosure of Protected Health Information (PHI) on behalf of or provides services to a covered entity under regulations such as HIPAA.
Catastrophic Health Insurance is a type of health coverage primarily designed for emergency situations and large medical expenses, offering financial protection against high-cost medical events.
The Children's Health Insurance Program (CHIP) provides health coverage to eligible children, offering a safety net for children from low-income families through Medicaid and separate state programs.
Comorbidity refers to the simultaneous presence of two or more diseases or medical conditions in a patient. This term is frequently used in medical, psychological, and social science contexts to describe complex health states that impact diagnosis, treatment, and patient outcomes.
A copayment is a specific dollar amount paid for a covered healthcare service at the time of service. It is a fixed amount paid by the insured for specific healthcare services.
Covered Entities refer to organizations such as healthcare providers, health plans, and healthcare clearinghouses regulated under the Health Insurance Portability and Accountability Act (HIPAA).
Credentialing is the comprehensive process of verifying the qualifications and backgrounds of professionals to ensure their competence and compliance with standards and regulations.
A comprehensive guide to understanding double-blind studies, their importance in research, types, history, key events, mathematical models, examples, and more.
Effectiveness refers to achieving desired outcomes irrespective of input costs and measures how well objectives are met. It is a crucial concept across various domains including business, healthcare, and public policy.
A comprehensive look at Employer-Sponsored Insurance (ESI), including historical context, types, key events, explanations, models, importance, examples, considerations, related terms, and more.
Health insurance provided by an employer, including historical context, types, key events, detailed explanations, formulas, charts, importance, applicability, examples, considerations, related terms, comparisons, facts, stories, quotes, FAQs, and references.
Electronic Medical Records (EMR) are digital versions of patient charts that are primarily used within individual medical practices to streamline and enhance patient care.
A comprehensive guide to understanding EOB (Explanation of Benefits), its components, types, significance, and implications in the field of insurance and healthcare.
An Exclusive Provider Organization (EPO) offers health insurance plans similar to HMOs but without requiring Primary Care Physicians or referrals for specialist visits.
Evidence-Based Medicine (EBM) involves the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients.
An in-depth exploration of Expat Health Insurance, covering its significance, types, key elements, and practical considerations for expatriates seeking comprehensive medical coverage abroad.
Generic drugs contain the same active ingredients as brand-name drugs and offer the same therapeutic benefits. Explore the historical context, types, key events, and more about generic drugs in this comprehensive article.
A comprehensive overview of High-Deductible Health Plans (HDHP), including their historical context, types, key events, mathematical models, importance, examples, and related terms. Essential for understanding HSA eligibility.
Health Informatics is the intersection of information technology and healthcare, focusing on the management and analysis of health data. It plays a critical role in advancing healthcare through the systematic application of information technology.
Health Information Exchange (HIE) systems enable the secure sharing of health information across various organizations, improving healthcare coordination and patient outcomes.
A comprehensive federal law enacted to ensure the portability and continuity of health insurance coverage while safeguarding the privacy and security of medical information.
Health policy encompasses the decisions, plans, and actions undertaken to achieve specific healthcare goals within a society. It aims at improving the health outcomes of a population by addressing a wide range of health determinants.
A detailed examination of healthcare benefits including historical context, types, key events, explanations, models, and their importance in the modern world.
HIPAA Authorization involves obtaining an individual's explicit consent to use or disclose Protected Health Information (PHI) for purposes beyond treatment, payment, and healthcare operations.
The Health Information Technology for Economic and Clinical Health Act, enhancing HIPAA rules and promoting the adoption and meaningful use of health information technology.
Instrumental Activities of Daily Living (IADLs) encompass the tasks required for a person to live independently, such as managing finances, transportation, and medication management.
Instrumental Activities of Daily Living (IADLs) encompass the complex skills required for independent living, including managing finances, medication, and household chores.
Life Plan Community, also known as Continuing Care Retirement Communities (CCRCs), offers comprehensive life planning and a range of care options for aging adults.
Long-Term Care (LTC) encompasses support measures and services for personal and health care required regularly over prolonged periods. It includes assistance with daily activities, both basic and instrumental.
Medicaid is a US government program that funds medical treatment for individuals with low incomes, jointly financed by state and federal governments and administered by the states.
Medicaid Expansion is a provision under the Affordable Care Act (ACA) that allows U.S. states to increase Medicaid eligibility to encompass more low-income individuals, thereby expanding access to healthcare.
An in-depth look at Medicare, a federal health insurance program primarily for individuals aged 65 and older in the United States. Includes historical context, types, key events, detailed explanations, and more.
A comprehensive exploration of Medicare Advantage (Part C), which provides private plan options that combine Parts A (hospital insurance) and B (medical insurance) of Medicare.
Medicare Part B, a component of the U.S. Medicare system, provides insurance coverage for outpatient services, medical supplies, and preventive services.
A comprehensive overview of Medicare Part C, also known as Medicare Advantage, which allows beneficiaries to receive their Medicare benefits through private health plans.
Medicare Supplement Insurance, commonly known as Medigap, helps pay some of the healthcare costs that Original Medicare doesn't cover, such as copayments, coinsurance, and deductibles.
Understand the differences between Medicare and Medicaid, two key health insurance programs in the United States, including their eligibility criteria, coverage, and funding sources.
A comprehensive guide on the differences between Medicare and Social Security Benefits, covering historical context, types, key events, detailed explanations, and their applicability.
A Morbidity Table provides statistical information on the incidence of diseases within a specific population, essential for fields like healthcare, insurance, and public health planning.
An in-depth exploration of multi-morbidity, its historical context, types, key events, detailed explanations, and its importance in healthcare. Learn about the implications, models, examples, and considerations associated with multi-morbidity.
The National Health Service (NHS) is the UK system of state-financed medical treatment, covering general practitioner (GP) services, pharmaceuticals, hospitals, and dentistry.
The Number Needed to Treat (NNT) is a crucial metric in evidence-based medicine used to quantify the effectiveness of a healthcare intervention. It indicates how many patients need to be treated to prevent one additional adverse event, helping clinicians and patients make informed decisions about healthcare treatments.
A comprehensive overview of the Patient Protection and Affordable Care Act (ACA), commonly known as Obamacare, its history, features, impact, and ongoing debates.
Occupational Therapy is a therapeutic approach that focuses on helping individuals achieve independence in all facets of their lives. It involves the use of specific activities to help individuals develop, recover, or maintain their daily living and work skills.
Off-label use refers to the practice of prescribing drugs for indications, dosages, or populations that have not received formal approval from regulatory bodies.
Open Enrollment is the designated yearly period when employees can enroll in, or make changes to, their health insurance plans. It is a critical time for individuals to review and adjust their health coverage.
Palliative care focuses on providing relief from the symptoms and stress of serious illness, aiming to improve quality of life for patients and their families.
Partial Disability refers to a condition where an individual can perform some, but not all, of their previous job duties, impacting their ability to work fully.
Pharmaceutical Equivalence refers to drugs that contain the same active ingredients, dosage form, strength, and route of administration. This concept is crucial in ensuring the quality and effectiveness of generic drugs.
Explore the multifaceted role of Pharmaceutical Sales Representatives, including historical context, key responsibilities, and essential knowledge for success in the field.
An in-depth exploration of pharmaceutics, including historical context, types, key events, detailed explanations, and its importance in the pharmaceutical industry.
Pharmacovigilance is the practice of monitoring the effects of medical drugs after they have been licensed for use to identify and evaluate previously unreported adverse reactions. It involves the process of monitoring the safety of medicines and taking action to reduce risks and increase benefits.
An in-depth exploration of polymorbidity, emphasizing the presence and impact of multiple illnesses in individuals, including historical context, types, key events, models, and real-world examples.
An in-depth exploration of Preferred Provider Organizations (PPOs), their historical context, benefits, key features, and comparisons with other healthcare plans.
Pre-authorization refers to the approval from an insurance provider necessary before certain services are rendered, ensuring that the provider will cover the service.
An in-depth exploration of pre-existing conditions, their historical context, categories, significance in various domains like insurance, key events, examples, and relevant terminologies.
A comprehensive guide to understanding prescriptions, including their historical context, types, key events, detailed explanations, importance, applicability, and related terms.
Primary Care Physicians (PCPs) serve as the first point of contact and coordinators of patient care in Health Maintenance Organizations (HMOs), playing a pivotal role in the healthcare system.
Protected Health Information (PHI) refers to any information about health status, provision of healthcare, or payment for healthcare that can be linked to an individual.
An in-depth examination of Protected Health Information (PHI), a critical subset of Personally Identifiable Information (PII) under HIPAA, including its definition, importance in healthcare, and regulatory implications.
Respite Care offers temporary relief for primary caregivers, enabling them to rest, travel, or attend to personal matters. This article explores its history, types, importance, and more.
Secondary Insurance is a type of health insurance policy that activates after the primary insurance has paid its share, covering the remaining eligible costs.
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