The Strange Language of Health Care Terms Glossary of healthcare terms from the US federal government. ASO (Administrative Services Only) Managed care plans Primary care physician (PCP) Coinsurance Managed care…Continue readingHealth Care Terms
Appropriate Care, Gatekeepers, and Pre Certification This is the part of Managed Care plans that gets much of the bad press, but it’s also the part that controls cost. HMOs,…Continue readingPre Certification
Uh Oh, Denied Claims Once in a while, when you have a test or treatment that isn’t covered, or you get a prescription filled, your insurance company won’t pay the…Continue readingDenied Claims
Consumer Driven Health Plans Consumer Directed Health Plans (CDHP) are a fairly recent development and are designed to involve consumers more directly in their health care purchases. They blend a…Continue readingConsumer Driven Health Plans
Consolidated Omnibus Budget Reconciliation Act of 1985, or COBRA, is a law passed by the U.S. Congress, that mandates an insurance program giving some employees the ability to continue health…Continue readingCOBRA and ERISA