- Industry: Health care
- Number of terms: 4240
- Number of blossaries: 0
- Company Profile:
The Blue Cross Blue Shield Association (BCBSA) is a federation of 39 separate health insurance organizations and companies in the United States. Combined, they directly or indirectly provide health insurance to over 100 million Americans.
Change that is unplanned and uncontrolled and produces unpredictable results. Also known as random change.
Industry:Health care
A computer network that provides access to a database of medical information. Also known as a health data network.
Industry:Health care
An organisation that contracts with a state Medicaid agency as a fiscal intermediary.
Industry:Health care
A healthcare system that assumes or shares both the financial risks and the delivery risks associated with providing comprehensive medical services to a voluntarily enrolled population in a particular geographic area, usually in return for a fixed, prepaid fee.
Industry:Health care
Preventive care programmes designed to educate and motivate members to prevent illness and injury and to promote good health through lifestyle choices, such as smoking cessation and dietary changes. Also known as wellness programs.
Industry:Health care
A process by which an MCO uses information about a plan member's health status, personal and family health history, and health-related behaviours to predict the member's likelihood of experiencing specific illnesses or injuries. Also known as health risk appraisal.
Industry:Health care
According to the Institute of Medicine, "the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge."
Industry:Health care
A patient whose condition requires large financial expenditures or significant human and technological resources.
Industry:Health care
