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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
Mandatory spending
Insurance; Medicare & Medicaid
Outlays for entitlement programmes (Medicare and Medicaid) that are not subject to the Federal appropriations process.
Discount drug list
Insurance; Medicare & Medicaid
A list of certain drugs and their proper dosages. The discount drug list includes the drugs the company will discount.
Administrative law judge (ALJ)
Insurance; Medicare & Medicaid
A hearings officer who presides over appeal conflicts between providers of services, or beneficiaries, and Medicare contractors.
Preventive services
Insurance; Medicare & Medicaid
Health care to keep you healthy or to prevent illness (for example, Pap tests, pelvic exams, flu shots, and screening mammograms).
Payment rate
Insurance; Medicare & Medicaid
The total payment that a hospital or community mental health centre gets when they give outpatient services to Medicare patients.
Random sample
Insurance; Medicare & Medicaid
A random sample is a group selected for study, which is drawn at random from the universe of cases by a statistically valid method.
National payer ID
Insurance; Medicare & Medicaid
A system for uniquely identifying all organisations that pay for health care services. Also known as Health Plan ID, or Plan ID.