- Industry: Government
- Number of terms: 626
- Number of blossaries: 0
- Company Profile:
The United States Department of Justice (often referred to as the Justice Department or DOJ), is the United States federal executive department responsible for the enforcement of the law and administration of justice, equivalent to the justice or interior ministries of other countries.
A shared service which combines the purchasing power of individual organisations or facilities in order to obtain lower prices for equipment and supplies.
Industry:Health care
A set of standardised performance measures designed to ensure that purchasers and consumers have reliable information with which to compare the performance of MCOs.
Industry:Health care
The Herfindahl-Hirschman Index is a commonly accepted measure of market concentration. It is calculated by squaring the market share of each firm competing in the market and then summing the resulting numbers. The HHI takes into account the relative size and distribution of the firms in a market. The HHI increases both as the number of firms in the market decreases and as the disparity in size between those firms increases.
Industry:Health care
IPAs are networks of independent physicians that contract with MCOs and employers. IPAs may be organised as sole proprietorships, partnerships, or professional corporations.
Industry:Health care
Medicare's payment system for inpatient hospitals and facilities. The specific amount that is paid is based on the DRG for the hospital admission.
Industry:Health care
MCOs integrate, to varying degrees, the financing and delivery of health care services.
Industry:Health care
Maximum Allowable Cost, or Charge. The maximum that a vendor may charge for something. This term is often used in pharmaceutical contracting.
Industry:Health care
Also known as Medicare Part C. The Balanced Budget Act of 1997 (BBA) established the Medicare+Choice program. Under this program, an eligible individual may elect to receive Medicare benefits through enrollment in a Medicare+Choice plan, which generally takes the form of a MCO.
Industry:Health care
The Commission was created by the BBA through a merger of the Prospective Payment Assessment Commission and the Physician Payment Review Commission. MedPAC reviews payment policies under Medicare Parts A and B and the effects of Medicare Part C. MedPAC also evaluates the effect of prospective payment policies and their impact on health care delivery in the US.
Industry:Health care
