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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.

Contributors in Medicare & Medicaid

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.

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