8 Terms
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Medicare & Medicaid
Medical insurance programs administered by the U.S. federal government that provide health care coverage for the elderly (people over 65) and certain people and families with low incomes and resources.
Industry: Insurance
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Medicare & Medicaid
Demographic data
Insurance; Medicare & Medicaid
Data that describe the characteristics of enrollee populations within a managed care entity. Demographic data include but are not limited to age, sex, race/ethnicity, and primary language.
Actuarial soundness
Insurance; Medicare & Medicaid
A measure of the adequacy of Hospital Insurance and Supplementary Medical Insurance financing as determined by the difference between trust fund assets and liabilities for specified periods.
Contingency margin
Insurance; Medicare & Medicaid
An amount included in the actuarial rates to provide for changes in the contingency level in the trust fund. Positive margins increase the contingency level, and negative margins decrease it.
Admission date
Insurance; Medicare & Medicaid
The date the patient was admitted for inpatient care, outpatient service, or start of care. For an admission notice for hospice care, enter the effective date of election of hospice benefits.
Equivalency review
Insurance; Medicare & Medicaid
The process CMS employs to compare an accreditation organization's standards, processes and enforcement activities to the comparable CMS requirements, processes and enforcement activities.
State medical assistance office
Insurance; Medicare & Medicaid
A State agency that is in charge of the State?s Medicaid programme and can give information about programmes to help pay medical bills for people with low incomes. Also provides help with ...
Area agency on ageing (AAA)
Insurance; Medicare & Medicaid
State and local programmes that help older people plan and care for their life-long needs. These needs include adult day care, skilled nursing care/therapy, transportation, personal care, respite ...
