- Industria: 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.
Members of a company's board of directors who hold positions with the company in addition to their positions on the board.
Industry:Health care
The MCO committee that establishes and updates credentialing processes and criteria and reviews provider credentials during the credentialing and recred-entialing processes.
Industry:Health care
A type of community rating in which an MCO considers only community-wide data and establishes the same financial performance goals for all risk classes. Also known as pure community rating.
Industry:Health care
A situation that occurs when an organization's assets or resources are not adequate to cover its debts and obligations.
Industry:Health care
A measure of the statistical predictability of a group's experience.
Industry:Health care
A diagnostic and treatment process that a clinician should follow for a certain type of patient, illness, or clinical circumstance.
Industry:Health care
A provider organization that is fully integrated operationally and clinically to provide a full range of healthcare services, including physician services, hospital services, and ancillary services.
Industry:Health care
A provider contract clause which specifies a time period (usually 60-90 days) for a party that breaches the contract to remedy the problem and avoid termination of the contract.
Industry:Health care
Authoritative statements of: (1) minimum levels of acceptable performance or results, (2) excellent levels of performance or results, or (3) the range of acceptable performance or results, according to the Institute of Medicine.
Industry:Health care
For provider organizations, the unification of two or more previously separate providers under common ownership or control, or the combination of the business operations of two or more providers that were previously carried out separately and independently.
Industry:Health care
