Pharmaceutical Services
Community Pharmacy Services
Pharmacists
Lithuania
Insurance, Health
Insurance Coverage
Insurance, Pharmaceutical Services
Insurance
Insurance, Long-Term Care
Insurance, Life
Insurance Carriers
Health Services Accessibility
Medically Uninsured
Insurance Pools
Insurance Selection Bias
Health Services Needs and Demand
United States
Insurance Benefits
Insurance, Health, Reimbursement
Health Benefit Plans, Employee
Health Services Research
National Health Programs
Health Care Reform
Insurance, Liability
Family Planning Services
Insurance, Major Medical
Medicaid
Universal Coverage
Insurance, Accident
National Health Insurance, United States
Home Care Services
Insurance, Hospitalization
Health Expenditures
Community Health Services
Private Sector
Health Insurance Portability and Accountability Act
State Health Plans
Insurance Claim Review
Insurance, Physician Services
Eligibility Determination
Health Care Surveys
Rural Health Services
Financing, Personal
Health Services for the Aged
Delivery of Health Care
Socioeconomic Factors
Patient Protection and Affordable Care Act
Financial incentives and drug spending in managed care. (1/456)
This study estimates the impact of patient financial incentives on the use and cost of prescription drugs in the context of differing physician payment mechanisms. A large data set was developed that covers persons in managed care who pay varying levels of cost sharing and whose physicians are compensated under two different models: independent practice association (IPA)-model and network-model health maintenance organizations (HMOs). Our results indicate that higher patient copayments for prescription drugs are associated with lower drug spending in IPA models (in which physicians are not at risk for drug costs) but have little effect in network models (in which physicians bear financial risk for all prescribing behavior). (+info)Who bears the burden of Medicaid drug copayment policies? (2/456)
This DataWatch examines the impact of Medicaid prescription drug copayment policies in thirty-eight states using survey data from the 1992 Medicare Current Beneficiary Survey. Findings indicate that elderly and disabled Medicaid recipients who reside in states with copay provisions have significantly lower rates of drug use than their counterparts in states without copayments. After controlling for other factors, we find that the primary effect of copayments is to reduce the likelihood that Medicaid recipients fill any prescription during the year. This burden falls disproportionately on recipients in poor health. (+info)Outpatient antidepressant utilization in a Dutch sick fund. (3/456)
OBJECTIVE: To identify quality improvement opportunities in the management of depression by evaluating patterns of antidepressant use and concurrent use of anxiolytics or sedative/hypnotics among patients who initiated therapy with amitriptyline, fluoxetine, fluvoxamine, or paroxetine. DESIGN: A longitudinal, retrospective study using electronic prescription data from a Dutch sick fund, ZAO Zorgverzekeringen. PATIENTS AND METHODS: The study patients (n = 2,554) initiated therapy between October 1, 1994 and December 31, 1995. Follow-up periods were 6 months (antidepressant use) and 60 days (concurrent anxiolytic and sedative/hypnotic use). RESULTS: The three key findings were as follows: (1) the majority of patients received less than 4 months of therapy (more common for patients receiving amitriptyline); (2) the average daily doses for initial prescriptions for all four study drugs were below the recommended therapeutic minimums for depression (overall and final amitriptyline doses also were consistently low); and (3) the incidence of concurrent anxiolytic and sedative/hypnotic use during days 2-60 after antidepressant therapy initiation was 18.2%. CONCLUSION: The study suggests that patients in this Dutch sick fund were not likely to receive either adequate antidepressant doses or adequate durations of therapy relative to Dutch guidelines for the treatment of depression. These findings are consistent with findings in other Dutch, European, and US studies and may present opportunities for quality improvement. (+info)Factors affecting bargaining outcomes between pharmacies and insurers. (4/456)
OBJECTIVE: To model the bargaining power of pharmacies and insurers in price negotiations and test whether it varies with characteristics of the pharmacy, insurer, and pharmacy market. DATA SOURCES/STUDY SETTING: Data from four sources. Pharmacy/insurer transactions were taken from Medstat's universe of 6.8 million pharmacy claims in their 1994 Marketscan database. Sources Informatics, Inc. supplied a three-digit zip code-level summary database containing pharmacy payments and self-reported costs for retail (cash-paying) customers for the top 200 pharmaceutical products by prescription size in 1994. The National Council of Prescription Drug Programs supplied their 1994 pharmacy database. Zip code-level socioeconomic and commercial information was taken from Bureau of the Census' 1990 Summary Tape File 3B and 1994 Zip Code Business Patterns database. STUDY DESIGN: The provider/insurer bargaining model first employed in Brooks, Dor, and Wong (1997, 1998) was adapted to the circumstances surrounding pharmacy and insurer bargaining. DATA COLLECTION/EXTRACTION METHODS: The units of observation in this study were single Medstat claims for each unique insurer/pharmacy combination in the database for selected pharmaceutical products. The four products selected varied in the conditions they treat, whether they are used to treat chronic or acute conditions, and by their sales volume. Used in the analysis were 9,758 Zantac, 2,681 Humulin, 3,437 Mevacor, and 1,860 Dilantin observations. PRINCIPAL FINDINGS: We find statistically significant variation in pharmacy bargaining power. Pharmacy bargaining power varies significantly across markets, insurers, and pharmacy types. With respect to market structure, pharmacy bargaining power is negatively related to pharmacies per capita and pharmacies per employer and positively related to pharmacy concentration at higher concentration levels. In addition, the higher the percentage of independent pharmacies in an area, the lower the pharmacy bargaining power. With respect to socioeconomic conditions, pharmacy bargaining power is higher in areas with lower per capita income and higher rates of public assistance. CONCLUSIONS: The bargaining power of pharmacies in contract negotiations with insurers varies considerably with exogenous factors. Local area pharmacy ownership concentration enhances pharmacy bargaining. As a result, anti-trust law prohibiting the collective bargaining of independent pharmacies with insurers leaves independents at a disadvantage with respect to chains. (+info)Pharmacist compensation for ambulatory patient care services. (5/456)
This activity is designed for pharmacists practicing in ambulatory, community, and managed care environments. GOAL: To discuss issues involved in the transition from product-based to patient-care-based reimbursement and compensation systems for pharmacists. OBJECTIVES: 1. Differentiate between reimbursement and compensation. 2. Describe the limitations of current third-party reimbursement and compensation systems. 3. Describe ways in which compensation for seemingly identical products and services can vary. 4. Discuss the use of Medicare's Resource-Based Value Scale and the relative value unit. 5. Define and differentiate between ICD-9-CM codes and E/M CPT codes. 6. List the three key components needed to determine an E/M CPT code for a new patient seen in the pharmacy. 7. Describe and provide examples of the SOAP method of documentation. 8. Understand why the referral process is an important step in the compensation process. 9. Discuss the importance of Form HCFA-1500 and other documentation in the compensation process. (+info)Managed care and sexual dysfunction. Based on a presentation by William Parham, MD. (6/456)
The availability of managed care benefits for the treatment of sexual dysfunction is inextricably linked with cost. An atypically low increase of 4.4% in aggregate healthcare expenditures in 1995-1996 stands in sharp contrast to outlays of more than 11% between 1966 and 1993. Between 1993 and 1996, that increase hovered at about 5%, the result largely of the growth of managed care and low levels of general inflation. However, despite relative containment of overall healthcare expenditures, those related to pharmaceuticals have risen more than 9.2% annually, an increase that reflects the managed care industry's failure to restrain drug costs. In deciding whether it will cover a particular treatment, the managed care industry applies three sets of criteria relating to efficacy, medical necessity, and appropriateness. Managed care companies are expected to counter runaway pharmacy costs for sildenafil by excluding it from coverage, imposing significant limitations, or requiring higher copayments. (+info)Migraine in managed care. Based on a presentation by Delores Bowman, RN, BSN, CRM. (7/456)
Migraine, one of the most common conditions reported by health plan members, receives inadequate attention in most managed care settings. The lack of a consistent and concerted approach to the management of patients with the most severe and intractable varieties of migraine is particularly obvious. Studies in our plan population have documented that the availability of effective new pharmacologic antimigraine agents could reduce both sick days and hospital visits. Development of new guidelines for management of migraine patients, including a formulary indicating the availability of agents that have been documented to be effective, will be a critical step in educating physicians as to the proper management of patients with migraine. Such guidelines should also provide specific criteria for referral. Studies that document positive outcomes of new migraine protocols will provide a basis for employer-driven expansion of migraine-related healthcare coverage. (+info)Is prior authorization of topical tretinoin for acne cost effective? (8/456)
OBJECTIVE: To determine whether prior authorization of topical tretinoin for acne is in the best interest of health insurers and, if so, to determine the optimal prior authorization age for topical tretinoin. STUDY DESIGN: A retrospective, cross-sectional study of data from the National Ambulatory Medical Care Survey was performed. PATIENTS AND METHODS: We performed a sensitivity analysis using published data on the age distribution for topical tretinoin prescriptions for acne and nonacne indications to estimate the cost of topical tretinoin and the cost of performing prior authorizations as a function of the prior authorization age. RESULTS: A prior authorization age of 25 for topical tretinoin is not cost effective for health insurers. If prior authorization is required, an age threshold of 35 or older is most cost effective. The total cost of topical tretinoin (the sum of the drug costs plus the prior authorization costs) changes little with changes in the prior authorization age; if the prior authorization age is set too low, total costs increase (because the number of prior authorizations increase). CONCLUSIONS: Prior authorization for topical tretinoin is of no great benefit to insurers. As the prior authorization age decreases, the cost of requiring prior authorization increases. Eliminating prior authorization altogether would result in at most a small increase in costs and would be balanced by the benefits to both patients and physicians. (+info)Pharmaceutical services refer to the direct patient care activities conducted by licensed pharmacists, which include but are not limited to:
1. Medication therapy management: This involves reviewing a patient's medications to ensure they are appropriate, effective, and safe. Pharmacists may make recommendations to the prescriber about changes to medication therapy as needed.
2. Patient education: Pharmacists provide education to patients about their medications, including how to take them, potential side effects, and storage instructions. They also provide information on disease prevention and management.
3. Immunizations: Many pharmacists are trained to administer vaccines, which can help increase access to this important preventive health service.
4. Monitoring and evaluation: Pharmacists monitor patients' responses to medication therapy and make adjustments as needed. They also evaluate the effectiveness of medication therapy and make recommendations for changes if necessary.
5. Clinical services: Pharmacists may provide a range of clinical services, such as managing anticoagulation therapy, providing diabetes education, or conducting medication reconciliation after hospital discharge.
6. Collaborative practice: Pharmacists work collaboratively with other healthcare providers to optimize medication therapy and improve patient outcomes. This may involve participating in multidisciplinary teams, consulting with prescribers, or sharing information with other healthcare professionals.
Overall, pharmaceutical services aim to improve patient outcomes by ensuring that medications are used safely and effectively.
Online pharmaceutical services, also known as internet or digital pharmacy services, refer to the provision of medication-related services through the internet. These services may include the following:
1. Prescription medication dispensing and delivery: This involves the online ordering and delivery of prescription medications to patients' homes or other preferred locations. Patients can submit their prescriptions electronically or by mail, and the pharmacy will fill the order and ship it to the patient.
2. Medication therapy management (MTM): MTM services involve a comprehensive review of a patient's medication regimen by a licensed healthcare professional, such as a pharmacist. This includes evaluating the appropriateness, effectiveness, and safety of medications, identifying potential drug interactions or adverse effects, and making recommendations for changes as needed.
3. Telemedicine consultations: Some online pharmacies offer telemedicine services, allowing patients to consult with healthcare professionals remotely via video conferencing or phone calls. This can be particularly useful for patients who have difficulty traveling to a physical clinic or those living in remote areas.
4. Refill reminders and automatic refills: Online pharmacies often provide refill reminders to help patients stay on track with their medication schedules. Some also offer automatic refill services, where medications are automatically shipped to the patient when they are due for a refill.
5. Health information resources: Many online pharmacies provide health-related resources and information, such as articles, videos, and interactive tools, to help patients better understand their medications and overall health.
It is essential to ensure that any online pharmaceutical service is legitimate and adheres to all relevant laws and regulations. Patients should look for websites that are verified by organizations such as the National Association of Boards of Pharmacy (NABP) or the Verified Internet Pharmacy Practice Sites (VIPPS) program, which helps ensure that the pharmacy is operating legally and safely.
Community pharmacy services refer to the healthcare services provided by retail pharmacies within a community setting. These services typically include:
1. Dispensing medications: Pharmacists ensure that prescriptions are filled correctly and provide patients with necessary instructions for use, potential side effects, and warnings about drug interactions.
2. Medication therapy management (MTM): Pharmacists review a patient's medication regimen to identify any potential issues, such as duplications, dosage errors, or interactions. They may also make recommendations to optimize the effectiveness and safety of the medications being used.
3. Immunizations: Many community pharmacies now offer immunization services for various vaccine-preventable diseases, such as influenza, pneumococcal disease, and hepatitis B.
4. Point-of-care testing: Some community pharmacies provide diagnostic tests, like blood glucose or cholesterol screening, to help monitor chronic conditions or identify health issues early on.
5. Health screenings and wellness programs: Community pharmacies often host health fairs, smoking cessation programs, or weight management initiatives to promote overall well-being and prevent disease.
6. Medication disposal: Pharmacies sometimes offer safe disposal options for unused or expired medications to help prevent environmental contamination and misuse.
7. Patient education: Community pharmacists provide counseling on various topics, such as proper use of inhalers, managing side effects, and adhering to medication schedules. They may also offer information about disease prevention and healthy lifestyle choices.
8. Consultation services: Pharmacists can provide one-on-one consultations for patients seeking advice on over-the-counter products, self-care, or management of chronic conditions.
9. Collaborative care: Community pharmacists work closely with other healthcare providers, such as physicians and nurses, to coordinate patient care and ensure optimal treatment outcomes.
10. Public health initiatives: Community pharmacies often participate in public health campaigns, like promoting tobacco-free lifestyles or supporting immunization efforts during outbreaks or epidemics.
A Pharmacist is a healthcare professional who practices in the field of pharmacy, focusing on the safe and effective use of medications. They are responsible for dispensing medications prescribed by physicians and other healthcare providers, as well as providing information and counseling to patients about their medications. This includes explaining how to take the medication, potential side effects, and any drug interactions. Pharmacists may also be involved in medication therapy management, monitoring patient health and adjusting medication plans as needed. They must have a deep understanding of the properties and actions of drugs, including how they are absorbed, distributed, metabolized, and excreted by the body, as well as their potential interactions with other substances and treatments. In addition to a Doctor of Pharmacy (Pharm.D.) degree, pharmacists must also be licensed in the state where they practice.
I'm sorry for any confusion, but "Lithuania" is not a medical term. It is a country in Northern Europe, the southernmost of the three Baltic states. If you have any questions about medical terms or concepts, I would be happy to try and help answer those for you!
Health Insurance is a type of insurance that covers the whole or a part of the risk of a person incurring medical expenses, spreading the risk over a large number of persons. By purchasing health insurance, insured individuals pay a premium to an insurance company, which then pools those funds with other policyholders' premiums to pay for the medical care costs of individuals who become ill or injured. The coverage can include hospitalization, medical procedures, prescription drugs, and preventive care, among other services. The goal of health insurance is to provide financial protection against unexpected medical expenses and to make healthcare services more affordable.
Insurance coverage, in the context of healthcare and medicine, refers to the financial protection provided by an insurance policy that covers all or a portion of the cost of medical services, treatments, and prescription drugs. The coverage is typically offered by health insurance companies, employers, or government programs such as Medicare and Medicaid.
The specific services and treatments covered by insurance, as well as the out-of-pocket costs borne by the insured individual, are determined by the terms of the insurance policy. These terms may include deductibles, copayments, coinsurance, and coverage limits or exclusions. The goal of insurance coverage is to help individuals manage the financial risks associated with healthcare expenses and ensure access to necessary medical services.
Pharmaceutical services insurance refers to a type of coverage that helps individuals and families pay for their prescription medications. This type of insurance is often offered as part of a larger health insurance plan, but can also be purchased as a standalone policy.
The specifics of pharmaceutical services insurance coverage can vary widely depending on the policy. Some plans may cover only generic medications, while others may cover both brand-name and generic drugs. Additionally, some policies may require individuals to pay a portion of the cost of their prescriptions in the form of copays or coinsurance, while others may cover the full cost of medications.
Pharmaceutical services insurance can be especially important for individuals who have chronic medical conditions that require ongoing treatment with expensive prescription medications. By helping to offset the cost of these medications, pharmaceutical services insurance can make it easier for people to afford the care they need to manage their health and improve their quality of life.
I'm sorry for any confusion, but "insurance" is not a medical term per se. It is an financial concept and a type of risk management where an individual or entity pays a premium to a insurance company in order to receive financial protection or reimbursement against potential losses. In the context of healthcare, insurance typically refers to health insurance, which is a type of coverage that pays for medical, surgical, or hospital costs. Health insurance can be obtained through an employer, purchased directly from an insurance company, or provided by the government.
Long-term care insurance is a type of insurance policy that helps cover the costs of chronic or prolonged illness, disability, or cognitive impairment such as Alzheimer's disease. These policies help pay for services and supports in your home, adult day care centers, respite care, hospice care, assisted living facilities, memory care facilities, and nursing homes.
Long-term care insurance typically covers the following types of services:
1. Personal care services: This includes assistance with activities of daily living (ADLs) such as bathing, dressing, grooming, using the toilet, eating, and moving around.
2. Home health care services: This includes skilled nursing care, physical therapy, occupational therapy, speech therapy, and hospice care provided in your home.
3. Assisted living facilities: This includes room and board, personal care services, and supportive services such as medication management, transportation, and social activities.
4. Nursing homes: This includes skilled nursing care, rehabilitation services, and custodial care in a licensed nursing facility.
Long-term care insurance policies typically have a waiting period (also known as an elimination period) before benefits begin, which can range from 30 to 100 days. The policyholder is responsible for paying for long-term care services during this waiting period. Additionally, premiums for long-term care insurance may increase over time, and policies may have limits on the amount of coverage provided.
It's important to note that long-term care insurance can be expensive, and not everyone will qualify for coverage due to age or health conditions. Therefore, it's essential to carefully consider your options and consult with a licensed insurance professional before purchasing a policy.
Life insurance is a type of insurance policy that provides financial compensation to beneficiaries upon the death of the insured person. The policyholder pays premiums periodically to keep the policy active. In exchange, the insurance company agrees to pay a specified sum to the beneficiaries named in the policy when the insured individual passes away. Life insurance can help ensure that surviving family members or dependents have financial support to cover expenses such as funeral costs, mortgage payments, outstanding debts, and living expenses. There are various types of life insurance policies available, including term life, whole life, universal life, and variable life, each with its own features, benefits, and limitations.
An insurance carrier, also known as an insurer or a policy issuer, is a company or organization that provides insurance coverage to individuals and businesses in exchange for premium payments. The insurance carrier assumes the financial risk associated with the policies it issues, agreeing to pay for covered losses or expenses as outlined in the insurance contract, such as a health insurance policy, car insurance policy, or life insurance policy.
Insurance carriers can be divided into two main categories: life and health insurance companies and property and casualty insurance companies. Life and health insurance companies focus on providing coverage for medical expenses, disability, long-term care, and death benefits, while property and casualty insurance companies offer protection against losses or damages to property (home, auto, etc.) and liabilities (personal injury, professional negligence, etc.).
The primary role of an insurance carrier is to manage the risks it assumes by pooling resources from its policyholders. This allows the company to pay for claims when they arise while maintaining a stable financial position. Insurance carriers also engage in various risk management practices, such as underwriting, pricing, and investment strategies, to ensure their long-term sustainability and ability to meet their obligations to policyholders.
Health services accessibility refers to the degree to which individuals and populations are able to obtain needed health services in a timely manner. It includes factors such as physical access (e.g., distance, transportation), affordability (e.g., cost of services, insurance coverage), availability (e.g., supply of providers, hours of operation), and acceptability (e.g., cultural competence, language concordance).
According to the World Health Organization (WHO), accessibility is one of the key components of health system performance, along with responsiveness and fair financing. Improving accessibility to health services is essential for achieving universal health coverage and ensuring that everyone has access to quality healthcare without facing financial hardship. Factors that affect health services accessibility can vary widely between and within countries, and addressing these disparities requires a multifaceted approach that includes policy interventions, infrastructure development, and community engagement.
"Medically uninsured" is not a term that has an official medical definition. However, it generally refers to individuals who do not have health insurance coverage. This can include those who cannot afford it, those who are not offered coverage through their employer, and those who are ineligible for government-sponsored programs like Medicaid or Medicare. Being medically uninsured can lead to financial strain if an individual experiences a medical emergency or needs ongoing care, as they will be responsible for paying for these services out of pocket.
In the context of healthcare and medical insurance, an "insurance pool" refers to a grouping of individuals or entities who come together to share risks and costs associated with potential losses or expenses. This is often done through the purchase of insurance policies from a company. The insurance company then manages the pool, using the premiums collected from all members to pay for claims made by any individual member.
In this way, an insurance pool helps to spread the financial risk of healthcare costs across a larger group, which can lead to more predictable and stable costs for individuals or entities. Additionally, because the risk is spread out among many people, those who are considered higher risk (such as older individuals or those with pre-existing medical conditions) may still be able to obtain insurance coverage at a reasonable rate.
Insurance pools can take various forms, including community rating pools, high-risk pools, and reinsurance pools. Each type of pool is designed to address specific needs and risks within the healthcare system.
Health services refer to the delivery of healthcare services, including preventive, curative, and rehabilitative services. These services are typically provided by health professionals such as doctors, nurses, and allied health personnel in various settings, including hospitals, clinics, community health centers, and long-term care facilities. Health services may also include public health activities such as health education, surveillance, and health promotion programs aimed at improving the health of populations. The goal of health services is to promote and restore health, prevent disease and injury, and improve the quality of life for individuals and communities.
"Insurance Selection Bias" is not a widely recognized medical term. However, in the context of health services research and health economics, "selection bias" generally refers to the distortion of study results due to the non-random selection of individuals into different groups, such as treatment and control groups. In the context of health insurance, selection bias may occur when individuals who choose to enroll in a particular insurance plan have different characteristics (such as age, health status, or income) than those who do not enroll, leading to biased estimates of the plan's effectiveness or cost.
For example, if healthier individuals are more likely to choose a particular insurance plan because it has lower premiums, while sicker individuals are more likely to choose a different plan with more comprehensive coverage, then any comparison of health outcomes or costs between the two plans may be biased due to the differences in the health status of the enrollees.
Therefore, researchers must take steps to control for selection bias in their analyses, such as adjusting for confounding variables or using statistical methods like propensity score matching to create more comparable groups.
Health services needs refer to the population's requirement for healthcare services based on their health status, disease prevalence, and clinical guidelines. These needs can be categorized into normative needs (based on expert opinions or clinical guidelines) and expressed needs (based on individuals' perceptions of their own healthcare needs).
On the other hand, health services demand refers to the quantity of healthcare services that consumers are willing and able to pay for, given their preferences, values, and financial resources. Demand is influenced by various factors such as price, income, education level, and cultural beliefs.
It's important to note that while needs represent a population's requirement for healthcare services, demand reflects the actual utilization of these services. Understanding both health services needs and demand is crucial in planning and delivering effective healthcare services that meet the population's requirements while ensuring efficient resource allocation.
I'm sorry for any confusion, but "United States" is a geopolitical entity, specifically the name of the country consisting of 50 states, and it is not a medical term or concept. Therefore, I can't provide a medical definition for it. If you have any questions related to health, medicine, or biology, I would be happy to try to help answer those!
Insurance benefits refer to the coverage, payments or services that a health insurance company provides to its policyholders based on the terms of their insurance plan. These benefits can include things like:
* Payment for all or a portion of medical services, such as doctor visits, hospital stays, and prescription medications
* Coverage for specific treatments or procedures, such as cancer treatment or surgery
* Reimbursement for out-of-pocket expenses, such as deductibles, coinsurance, and copayments
* Case management and care coordination services to help policyholders navigate the healthcare system and receive appropriate care.
The specific benefits provided will vary depending on the type of insurance plan and the level of coverage purchased by the policyholder. It is important for individuals to understand their insurance benefits and how they can access them in order to make informed decisions about their healthcare.
Dental insurance is a type of health insurance specifically designed to cover the costs associated with dental care. It typically helps pay for preventive, basic, and major restorative procedures, including routine checkups, cleanings, fillings, extractions, root canals, crowns, bridges, and in some cases, orthodontic treatment.
Dental insurance plans often have a network of participating dentists who agree to provide services at pre-negotiated rates, helping to keep costs down for both the insured individual and the insurance company. The plan may cover a certain percentage of the cost of each procedure or have set copayments and deductibles that apply.
Like other forms of insurance, dental insurance plans come with annual maximum coverage limits, which is the most the plan will pay for dental care within a given year. It's essential to understand the terms and conditions of your dental insurance policy to make informed decisions about your oral health care and maximize the benefits available to you.
Health Insurance Reimbursement refers to the process of receiving payment from a health insurance company for medical expenses that you have already paid out of pocket. Here is a brief medical definition of each term:
1. Insurance: A contract, represented by a policy, in which an individual or entity receives financial protection or reimbursement against losses from an insurance company. The company pools clients' risks to make payments more affordable for the insured.
2. Health: Refers to the state of complete physical, mental, and social well-being, and not merely the absence of disease or infirmity.
3. Reimbursement: The act of refunding or compensating a person for expenses incurred, especially those that have been previously paid by the individual and are now being paid back by an insurance company.
In the context of health insurance, reimbursement typically occurs when you receive medical care, pay the provider, and then submit a claim to your insurance company for reimbursement. The insurance company will review the claim, determine whether the services are covered under your policy, and calculate the amount they will reimburse you based on your plan's benefits and any applicable co-pays, deductibles, or coinsurance amounts. Once this process is complete, the insurance company will issue a payment to you to cover a portion or all of the costs you incurred for the medical services.
A Health Benefit Plan for Employees refers to a type of insurance policy that an employer provides to their employees as part of their benefits package. These plans are designed to help cover the costs of medical care and services for the employees and sometimes also for their dependents. The specific coverage and details of the plan can vary depending on the terms of the policy, but they typically include a range of benefits such as doctor visits, hospital stays, prescription medications, and preventative care. Employers may pay all or part of the premiums for these plans, and employees may also have the option to contribute to the cost of coverage. The goal of health benefit plans for employees is to help protect the financial well-being of workers by helping them manage the costs of medical care.
Mental health services refer to the various professional health services designed to treat and support individuals with mental health conditions. These services are typically provided by trained and licensed mental health professionals, such as psychiatrists, psychologists, social workers, mental health counselors, and marriage and family therapists. The services may include:
1. Assessment and diagnosis of mental health disorders
2. Psychotherapy or "talk therapy" to help individuals understand and manage their symptoms
3. Medication management for mental health conditions
4. Case management and care coordination to connect individuals with community resources and support
5. Psychoeducation to help individuals and families better understand mental health conditions and how to manage them
6. Crisis intervention and stabilization services
7. Inpatient and residential treatment for severe or chronic mental illness
8. Prevention and early intervention services to identify and address mental health concerns before they become more serious
9. Rehabilitation and recovery services to help individuals with mental illness achieve their full potential and live fulfilling lives in the community.
Health services research (HSR) is a multidisciplinary field of scientific investigation that studies how social factors, financing systems, organizational structures and processes, health technologies, and personal behaviors affect access to healthcare, the quality and cost of care, and ultimately, our health and well-being. The goal of HSR is to inform policy and practice, improve system performance, and enhance the health and well-being of individuals and communities. It involves the use of various research methods, including epidemiology, biostatistics, economics, sociology, management science, political science, and psychology, to answer questions about the healthcare system and how it can be improved.
Examples of HSR topics include:
* Evaluating the effectiveness and cost-effectiveness of different healthcare interventions and technologies
* Studying patient-centered care and patient experiences with the healthcare system
* Examining healthcare workforce issues, such as shortages of primary care providers or the impact of nurse-to-patient ratios on patient outcomes
* Investigating the impact of health insurance design and financing systems on access to care and health disparities
* Analyzing the organization and delivery of healthcare services in different settings, such as hospitals, clinics, and long-term care facilities
* Identifying best practices for improving healthcare quality and safety, reducing medical errors, and eliminating wasteful or unnecessary care.
Child health services refer to a range of medical and supportive services designed to promote the physical, mental, and social well-being of children from birth up to adolescence. These services aim to prevent or identify health problems early, provide treatment and management for existing conditions, and support healthy growth and development.
Examples of child health services include:
1. Well-child visits: Regular checkups with a pediatrician or other healthcare provider to monitor growth, development, and overall health.
2. Immunizations: Vaccinations to protect against infectious diseases such as measles, mumps, rubella, polio, and hepatitis B.
3. Screening tests: Blood tests, hearing and vision screenings, and other diagnostic tests to identify potential health issues early.
4. Developmental assessments: Evaluations of a child's cognitive, emotional, social, and physical development to ensure they are meeting age-appropriate milestones.
5. Dental care: Preventive dental services such as cleanings, fluoride treatments, and sealants, as well as restorative care for cavities or other dental problems.
6. Mental health services: Counseling, therapy, and medication management for children experiencing emotional or behavioral challenges.
7. Nutrition counseling: Education and support to help families make healthy food choices and promote good nutrition.
8. Chronic disease management: Coordinated care for children with ongoing medical conditions such as asthma, diabetes, or cerebral palsy.
9. Injury prevention: Programs that teach parents and children about safety measures to reduce the risk of accidents and injuries.
10. Public health initiatives: Community-based programs that promote healthy lifestyles, provide access to healthcare services, and address social determinants of health such as poverty, housing, and education.
National health programs are systematic, large-scale initiatives that are put in place by national governments to address specific health issues or improve the overall health of a population. These programs often involve coordinated efforts across various sectors, including healthcare, education, and social services. They may aim to increase access to care, improve the quality of care, prevent the spread of diseases, promote healthy behaviors, or reduce health disparities. Examples of national health programs include immunization campaigns, tobacco control initiatives, and efforts to address chronic diseases such as diabetes or heart disease. These programs are typically developed based on scientific research, evidence-based practices, and public health data, and they may be funded through a variety of sources, including government budgets, grants, and private donations.
Health care reform refers to the legislative efforts, initiatives, and debates aimed at improving the quality, affordability, and accessibility of health care services. These reforms may include changes to health insurance coverage, delivery systems, payment methods, and healthcare regulations. The goals of health care reform are often to increase the number of people with health insurance, reduce healthcare costs, and improve the overall health outcomes of a population. Examples of notable health care reform measures in the United States include the Affordable Care Act (ACA) and Medicare for All proposals.
Liability insurance in a medical context refers to a type of insurance that covers the cost of legal claims made against healthcare professionals or facilities for damages or injuries caused to patients during the course of medical treatment. This can include incidents such as malpractice, errors or omissions in diagnosis or treatment, and failure to provide appropriate care. Liability insurance typically covers legal fees, settlements, and judgments awarded to the plaintiff in a lawsuit. It is intended to protect healthcare providers from financial ruin due to lawsuits and help ensure that patients have access to compensation for harm caused by medical negligence.
Family planning services refer to comprehensive healthcare programs and interventions that aim to help individuals and couples prevent or achieve pregnancies, according to their desired number and spacing of children. These services typically include:
1. Counseling and education: Providing information about various contraceptive methods, their effectiveness, side effects, and appropriate use. This may also include counseling on reproductive health, sexually transmitted infections (STIs), and preconception care.
2. Contraceptive services: Making a wide range of contraceptive options available to clients, including barrier methods (condoms, diaphragms), hormonal methods (pills, patches, injectables, implants), intrauterine devices (IUDs), and permanent methods (tubal ligation, vasectomy).
3. Screening and testing: Offering STI screening and testing, as well as cervical cancer screening for eligible clients.
4. Preconception care: Providing counseling and interventions to help women achieve optimal health before becoming pregnant, including folic acid supplementation, management of chronic conditions, and avoidance of harmful substances (tobacco, alcohol, drugs).
5. Fertility services: Addressing infertility issues through diagnostic testing, counseling, and medical or surgical treatments when appropriate.
6. Menstrual regulation: Providing manual vacuum aspiration or medication to safely and effectively manage incomplete miscarriages or unwanted pregnancies within the first trimester.
7. Pregnancy options counseling: Offering unbiased information and support to help individuals make informed decisions about their pregnancy, including parenting, adoption, or abortion.
8. Community outreach and education: Engaging in community-based initiatives to increase awareness of family planning services and promote reproductive health.
9. Advocacy: Working to remove barriers to accessing family planning services, such as policy changes, reducing stigma, and increasing funding for programs.
Family planning services are an essential component of sexual and reproductive healthcare and contribute significantly to improving maternal and child health outcomes, reducing unintended pregnancies, and empowering individuals to make informed choices about their reproductive lives.
Major medical insurance is a type of health insurance policy that provides comprehensive coverage for a wide range of medical services and treatments, typically with a high annual limit. These policies are designed to cover large, unexpected medical expenses such as hospital stays, surgery, and expensive diagnostic tests or treatments. Major medical insurance often has lower premiums than other types of health insurance because it requires the policyholder to pay a significant portion of their medical costs out-of-pocket through deductibles, copayments, and coinsurance. This type of insurance is often used in conjunction with other forms of coverage, such as employer-sponsored insurance or Medicare, to provide more comprehensive protection against high medical bills.
Medicaid is a joint federal-state program that provides health coverage for low-income individuals, including children, pregnant women, elderly adults, and people with disabilities. Eligibility, benefits, and administration vary by state, but the program is designed to ensure that low-income individuals have access to necessary medical services. Medicaid is funded jointly by the federal government and the states, and is administered by the states under broad federal guidelines.
Medicaid programs must cover certain mandatory benefits, such as inpatient and outpatient hospital services, laboratory and X-ray services, and physician services. States also have the option to provide additional benefits, such as dental care, vision services, and prescription drugs. In addition, many states have expanded their Medicaid programs to cover more low-income adults under the Affordable Care Act (ACA).
Medicaid is an important source of health coverage for millions of Americans, providing access to necessary medical care and helping to reduce financial burden for low-income individuals.
Universal coverage is a term used in healthcare policy to describe a system in which all residents of a particular country or region have access to necessary healthcare services, regardless of their ability to pay. This can be achieved through various mechanisms, such as mandatory health insurance, government provision of care, or a mix of public and private financing.
The goal of universal coverage is to ensure that everyone has access to essential medical services, including preventive care, doctor visits, hospitalizations, and prescription medications, without facing financial hardship due to medical expenses. Universal coverage can help reduce disparities in healthcare access and outcomes, improve overall population health, and provide economic benefits by reducing the burden of uncompensated care on healthcare providers and taxpayers.
It's important to note that universal coverage does not necessarily mean that all healthcare services are provided for free or at no cost to the individual. Rather, it means that everyone has access to a basic level of care, and that out-of-pocket costs are kept affordable through various mechanisms such as cost-sharing, subsidies, or risk pooling.
Insurance claim reporting is the process of informing an insurance company about a potential claim that an insured individual or business intends to make under their insurance policy. This report typically includes details about the incident or loss, such as the date, time, location, and type of damage or injury, as well as any relevant documentation, such as police reports or medical records.
The purpose of insurance claim reporting is to initiate the claims process and provide the insurance company with the necessary information to evaluate the claim and determine coverage. The insured individual or business may be required to submit additional information or evidence to support their claim, and the insurance company will conduct an investigation to assess the validity and value of the claim.
Prompt and accurate reporting of insurance claims is important to ensure that the claim is processed in a timely manner and to avoid any potential delays or denials of coverage based on late reporting. It is also important to provide complete and truthful information during the claims process, as misrepresentations or false statements can lead to claim denials or even fraud investigations.
Accident insurance is a type of coverage that provides benefits in the event of an unexpected injury or accident. This type of insurance is designed to help protect individuals from financial losses due to medical expenses, lost wages, and other costs associated with an accidental injury. Accident insurance policies typically cover events such as falls, motor vehicle accidents, sports injuries, and other unforeseen accidents. Benefits may include reimbursement for medical bills, disability payments, or even death benefits in the event of a fatal accident. It's important to note that accident insurance is not a substitute for comprehensive health insurance coverage, but rather a supplement to help cover out-of-pocket costs associated with accidents.
National Health Insurance (NHI) in the United States does not refer to a specific federal program, but rather it is often used to describe the concept of universal healthcare financing, where all residents have access to necessary healthcare services, and the costs are shared among the entire population.
However, the closest equivalent to NHI in the US is Medicare, which is a federal social insurance program that provides health insurance coverage to people aged 65 and older, some younger people with disabilities, and people with end-stage renal disease. It is not a true NHI system because it does not cover all residents of the country.
Therefore, there is no widely accepted medical definition of 'National Health Insurance, United States' in the context of an actual existing program or policy.
Home care services, also known as home health care, refer to a wide range of health and social services delivered at an individual's residence. These services are designed to help people who have special needs or disabilities, those recovering from illness or surgery, and the elderly or frail who require assistance with activities of daily living (ADLs) or skilled nursing care.
Home care services can include:
1. Skilled Nursing Care: Provided by registered nurses (RNs), licensed practical nurses (LPNs), or licensed vocational nurses (LVNs) to administer medications, wound care, injections, and other medical treatments. They also monitor the patient's health status, provide education on disease management, and coordinate with other healthcare professionals.
2. Therapy Services: Occupational therapists, physical therapists, and speech-language pathologists help patients regain strength, mobility, coordination, balance, and communication skills after an illness or injury. They develop personalized treatment plans to improve the patient's ability to perform daily activities independently.
3. Personal Care/Assistance with Activities of Daily Living (ADLs): Home health aides and personal care assistants provide assistance with bathing, dressing, grooming, toileting, and other personal care tasks. They may also help with light housekeeping, meal preparation, and shopping.
4. Social Work Services: Provided by licensed social workers who assess the patient's psychosocial needs, connect them to community resources, and provide counseling and support for patients and their families.
5. Nutritional Support: Registered dietitians evaluate the patient's nutritional status, develop meal plans, and provide education on special diets or feeding techniques as needed.
6. Telehealth Monitoring: Remote monitoring of a patient's health status using technology such as video conferencing, wearable devices, or mobile apps to track vital signs, medication adherence, and symptoms. This allows healthcare providers to monitor patients closely and adjust treatment plans as necessary without requiring in-person visits.
7. Hospice Care: End-of-life care provided in the patient's home to manage pain, provide emotional support, and address spiritual needs. The goal is to help the patient maintain dignity and quality of life during their final days.
8. Respite Care: Temporary relief for family caregivers who need a break from caring for their loved ones. This can include short-term stays in assisted living facilities or hiring professional caregivers to provide in-home support.
Hospitalization Insurance is a type of health insurance that provides coverage for the expenses incurred during a hospital stay, including surgery, diagnostic tests, doctor's visits, and other related services. This type of insurance may also cover the cost of hospital room and board, intensive care unit (ICU) stays, and nursing services. Some policies may also provide coverage for ambulance transportation, home health care, and rehabilitation services following a hospital stay. The specific benefits and coverage limits will vary depending on the policy and insurance provider.
Health expenditures refer to the total amount of money spent on health services, goods, and resources in a given period. This can include expenses for preventive care, medical treatments, medications, long-term care, and administrative costs. Health expenditures can be made by individuals, corporations, insurance companies, or governments, and they can be measured at the national, regional, or household level.
Health expenditures are often used as an indicator of a country's investment in its healthcare system and can reflect the overall health status of a population. High levels of health expenditures may indicate a strong commitment to healthcare, but they can also place a significant burden on individuals, businesses, and governments. Understanding patterns and trends in health expenditures is important for policymakers, healthcare providers, and researchers who are working to improve the efficiency, effectiveness, and accessibility of healthcare services.
Community health services refer to a type of healthcare delivery that is organized around the needs of a specific population or community, rather than individual patients. These services are typically focused on preventive care, health promotion, and improving access to care for underserved populations. They can include a wide range of services, such as:
* Primary care, including routine check-ups, immunizations, and screenings
* Dental care
* Mental health and substance abuse treatment
* Public health initiatives, such as disease prevention and health education programs
* Home health care and other supportive services for people with chronic illnesses or disabilities
* Health services for special populations, such as children, the elderly, or those living in rural areas
The goal of community health services is to improve the overall health of a population by addressing the social, economic, and environmental factors that can impact health. This approach recognizes that healthcare is just one factor in determining a person's health outcomes, and that other factors such as housing, education, and income also play important roles. By working to address these underlying determinants of health, community health services aim to improve the health and well-being of entire communities.
I'm sorry for any confusion, but the term "Private Sector" is not a medical definition. It is an economic and sociopolitical term that refers to businesses and organizations which are not owned or controlled by the government. They can be privately owned and operated for profit, such as corporations, partnerships, and sole proprietorships, or they can be non-profit organizations, such as charities and advocacy groups. The private sector is distinct from the "Public Sector," which includes entities that are owned and controlled by the government, like public schools, hospitals, and other services provided by the state.
The Health Insurance Portability and Accountability Act (HIPAA) is a US law designed to provide privacy standards to protect patients' medical records and other health information. It sets limits on who can look at and receive your protected health information (PHI), such as doctors, hospitals and healthcare clearinghouses. It also gives patients more control over their health information by setting rules for how it can be used or disclosed. Additionally, HIPAA establishes penalties for violations of the privacy rule.
HIPAA is enforced by the Department of Health and Human Services' Office for Civil Rights (OCR). It applies to covered entities, such as healthcare providers, health plans, and healthcare clearinghouses, that handle protected health information. Business associates of these covered entities, such as claims processing companies, also must comply with HIPAA regulations.
HIPAA is composed of several rules, including the Privacy Rule, Security Rule, Breach Notification Rule, and Enforcement Rule. These rules establish national standards for the protection of certain health information. The Privacy Rule establishes guidelines for how protected health information can be used and disclosed, while the Security Rule sets forth requirements for protecting electronic PHI. The Breach Notification Rule requires covered entities to notify affected individuals, the Secretary of HHS, and in some cases the media, following a breach of unsecured PHI. The Enforcement Rule provides for investigations and penalties for violations of the HIPAA rules.
In summary, HIPAA is a US law that establishes national standards to protect individuals' medical records and personal health information by setting guidelines for how it can be used and disclosed, as well as requirements for protecting electronic PHI. It applies to healthcare providers, health plans, and healthcare clearinghouses, as well as their business associates.
"State Health Plans" is a general term that refers to the healthcare coverage programs offered or managed by individual states in the United States. These plans can be divided into two main categories: Medicaid and state-based marketplaces.
1. **Medicaid**: This is a joint federal-state program that provides healthcare coverage to low-income individuals, families, and qualifying groups, such as pregnant women, children, elderly people, and people with disabilities. Each state administers its own Medicaid program within broad federal guidelines, and therefore, the benefits, eligibility criteria, and enrollment processes can vary from state to state.
2. **State-based Marketplaces (SBMs)**: These are online platforms where individuals and small businesses can compare and purchase health insurance plans that meet the standards set by the Affordable Care Act (ACA). SBMs operate in accordance with federal regulations, but individual states have the flexibility to design their own marketplace structure, manage their own enrollment process, and determine which insurers can participate.
It is important to note that state health plans are subject to change based on federal and state laws, regulations, and funding allocations. Therefore, it is always recommended to check the most recent and specific information from the relevant state agency or department.
An insurance claim review is the process conducted by an insurance company to evaluate a claim made by a policyholder for coverage of a loss or expense. This evaluation typically involves examining the details of the claim, assessing the damages or injuries incurred, verifying the coverage provided by the policy, and determining the appropriate amount of benefits to be paid. The insurance claim review may also include investigating the circumstances surrounding the claim to ensure its validity and confirming that it complies with the terms and conditions of the insurance policy.
Fees and charges in a medical context refer to the costs that patients are required to pay for healthcare services, treatments, or procedures. These may include:
1. Professional fees: The amount charged by healthcare professionals such as doctors, nurses, or therapists for their time, expertise, and services provided during consultations, examinations, or treatments.
2. Hospital charges: The costs associated with a patient's hospital stay, including room and board, nursing care, medications, and diagnostic tests.
3. Facility fees: Additional charges levied by hospitals, clinics, or ambulatory surgery centers to cover the overhead expenses of maintaining the facility and its equipment.
4. Procedure or treatment-specific fees: Costs directly related to specific medical procedures, surgeries, or treatments, such as anesthesia, radiology services, laboratory tests, or surgical supplies.
5. Ancillary fees: Additional costs for items like crutches, slings, or durable medical equipment that patients may need during their recovery process.
6. Insurance copayments, coinsurance, and deductibles: The portion of healthcare expenses that patients are responsible for paying based on their insurance policy terms.
It is essential for patients to understand the fees and charges associated with their medical care to make informed decisions about their treatment options and manage their healthcare costs effectively.
Physician services insurance refers to a type of health insurance coverage that helps pay for medically necessary services provided by licensed physicians. This can include office visits, hospital care, diagnostic tests, and treatments for injuries and illnesses. The specific services covered and the amount reimbursed will depend on the terms of the individual's insurance policy. Some policies may also have restrictions on which providers are considered in-network and covered under the plan. It is important to understand the details of one's coverage to know what is included and what out-of-pocket costs may be required.
Eligibility determination is the process of evaluating whether an individual meets the required criteria or conditions to be qualified for a particular program, benefit, service, or position. This process typically involves assessing various factors such as medical condition, functional abilities, financial status, age, and other relevant aspects based on the specific eligibility requirements.
In the context of healthcare and medical services, eligibility determination is often used to establish whether a patient qualifies for certain treatments, insurance coverage, government assistance programs (like Medicaid or Medicare), or disability benefits. This process may include reviewing medical records, conducting assessments, and comparing the individual's situation with established guidelines or criteria.
The primary goal of eligibility determination is to ensure that resources are allocated fairly and appropriately to those who genuinely need them and meet the necessary requirements.
Preventive health services refer to measures taken to prevent diseases or injuries rather than curing them or treating their symptoms. These services include screenings, vaccinations, and counseling aimed at preventing or identifying illnesses in their earliest stages. Examples of preventive health services include:
1. Screenings for various types of cancer (e.g., breast, cervical, colorectal)
2. Vaccinations against infectious diseases (e.g., influenza, pneumococcal pneumonia, human papillomavirus)
3. Counseling on lifestyle modifications to reduce the risk of chronic diseases (e.g., smoking cessation, diet and exercise counseling, alcohol misuse screening and intervention)
4. Screenings for cardiovascular disease risk factors (e.g., cholesterol levels, blood pressure, body mass index)
5. Screenings for mental health conditions (e.g., depression)
6. Preventive medications (e.g., aspirin for primary prevention of cardiovascular disease in certain individuals)
Preventive health services are an essential component of overall healthcare and play a critical role in improving health outcomes, reducing healthcare costs, and enhancing quality of life.
Health care surveys are research tools used to systematically collect information from a population or sample regarding their experiences, perceptions, and knowledge of health services, health outcomes, and various other health-related topics. These surveys typically consist of standardized questionnaires that cover specific aspects of healthcare, such as access to care, quality of care, patient satisfaction, health disparities, and healthcare costs. The data gathered from health care surveys are used to inform policy decisions, improve healthcare delivery, identify best practices, allocate resources, and monitor the health status of populations. Health care surveys can be conducted through various modes, including in-person interviews, telephone interviews, mail-in questionnaires, or online platforms.
Rural health services refer to the healthcare delivery systems and facilities that are located in rural areas and are designed to meet the unique health needs of rural populations. These services can include hospitals, clinics, community health centers, mental health centers, and home health agencies, as well as various programs and initiatives aimed at improving access to care, addressing health disparities, and promoting health and wellness in rural communities.
Rural health services are often characterized by longer travel distances to healthcare facilities, a greater reliance on primary care and preventive services, and a higher prevalence of certain health conditions such as chronic diseases, injuries, and mental health disorders. As a result, rural health services must be tailored to address these challenges and provide high-quality, affordable, and accessible care to rural residents.
In many countries, rural health services are supported by government policies and programs aimed at improving healthcare infrastructure, workforce development, and telehealth technologies in rural areas. These efforts are critical for ensuring that all individuals, regardless of where they live, have access to the healthcare services they need to maintain their health and well-being.
Personal Financing is not a term that has a specific medical definition. However, in general terms, it refers to the management of an individual's financial resources, such as income, assets, liabilities, and debts, to meet their personal needs and goals. This can include budgeting, saving, investing, planning for retirement, and managing debt.
In the context of healthcare, personal financing may refer to the ability of individuals to pay for their own medical care expenses, including health insurance premiums, deductibles, co-pays, and out-of-pocket costs. This can be a significant concern for many people, particularly those with chronic medical conditions or disabilities who may face ongoing healthcare expenses.
Personal financing for healthcare may involve various strategies, such as setting aside savings, using health savings accounts (HSAs) or flexible spending accounts (FSAs), purchasing health insurance policies with lower premiums but higher out-of-pocket costs, or negotiating payment plans with healthcare providers. Ultimately, personal financing for healthcare involves making informed decisions about how to allocate financial resources to meet both immediate and long-term medical needs while also balancing other financial goals and responsibilities.
Psychiatric insurance refers to a type of health insurance that helps cover the costs of psychiatric treatments and mental health services. These services may include therapy or counseling sessions with psychologists or psychiatrists, inpatient and outpatient care in psychiatric hospitals or facilities, medication, and other related treatments for mental illnesses and disorders. The specific coverage and benefits provided by psychiatric insurance can vary depending on the policy and the insurance provider.
"Health services for the aged" is a broad term that refers to medical and healthcare services specifically designed to meet the unique needs of elderly individuals. According to the World Health Organization (WHO), health services for the aged should be "age-friendly" and "person-centered," meaning they should take into account the physical, mental, and social changes that occur as people age, as well as their individual preferences and values.
These services can include a range of medical and healthcare interventions, such as:
* Preventive care, including vaccinations, cancer screenings, and other routine check-ups
* Chronic disease management, such as treatment for conditions like diabetes, heart disease, or arthritis
* Rehabilitation services, such as physical therapy or occupational therapy, to help elderly individuals maintain their mobility and independence
* Palliative care and end-of-life planning, to ensure that elderly individuals receive compassionate and supportive care in their final days
* Mental health services, including counseling and therapy for conditions like depression or anxiety
* Social services, such as transportation assistance, meal delivery, or home care, to help elderly individuals maintain their quality of life and independence.
Overall, the goal of health services for the aged is to promote healthy aging, prevent disease and disability, and provide high-quality, compassionate care to elderly individuals, in order to improve their overall health and well-being.
"Medical Assistance" is a term used in the United States that primarily refers to government-funded health care programs for individuals who are unable to afford medical care on their own. The most well-known program is Medicaid, which is a joint federal-state program that provides health coverage for low-income individuals, including children, pregnant women, elderly adults, and people with disabilities.
Medical Assistance can also refer to other government-funded programs that provide financial assistance for medical care, such as the Children's Health Insurance Program (CHIP), which provides low-cost health insurance for children in families who earn too much to qualify for Medicaid but still cannot afford private insurance.
In general, Medical Assistance programs are designed to help ensure that all individuals have access to necessary medical care, regardless of their ability to pay. These programs are funded through a combination of federal and state funds, and eligibility criteria and benefits may vary from state to state.
The "delivery of health care" refers to the process of providing medical services, treatments, and interventions to individuals in order to maintain, restore, or improve their health. This encompasses a wide range of activities, including:
1. Preventive care: Routine check-ups, screenings, immunizations, and counseling aimed at preventing illnesses or identifying them at an early stage.
2. Diagnostic services: Tests and procedures used to identify and understand medical conditions, such as laboratory tests, imaging studies, and biopsies.
3. Treatment interventions: Medical, surgical, or therapeutic treatments provided to manage acute or chronic health issues, including medications, surgeries, physical therapy, and psychotherapy.
4. Acute care services: Short-term medical interventions focused on addressing immediate health concerns, such as hospitalizations for infections, injuries, or complications from medical conditions.
5. Chronic care management: Long-term care and support provided to individuals with ongoing medical needs, such as those living with chronic diseases like diabetes, heart disease, or cancer.
6. Rehabilitation services: Programs designed to help patients recover from illnesses, injuries, or surgeries, focusing on restoring physical, cognitive, and emotional function.
7. End-of-life care: Palliative and hospice care provided to individuals facing terminal illnesses, with an emphasis on comfort, dignity, and quality of life.
8. Public health initiatives: Population-level interventions aimed at improving community health, such as disease prevention programs, health education campaigns, and environmental modifications.
The delivery of health care involves a complex network of healthcare professionals, institutions, and systems working together to ensure that patients receive the best possible care. This includes primary care physicians, specialists, nurses, allied health professionals, hospitals, clinics, long-term care facilities, and public health organizations. Effective communication, coordination, and collaboration among these stakeholders are essential for high-quality, patient-centered care.
Socioeconomic factors are a range of interconnected conditions and influences that affect the opportunities and resources a person or group has to maintain and improve their health and well-being. These factors include:
1. Economic stability: This includes employment status, job security, income level, and poverty status. Lower income and lack of employment are associated with poorer health outcomes.
2. Education: Higher levels of education are generally associated with better health outcomes. Education can affect a person's ability to access and understand health information, as well as their ability to navigate the healthcare system.
3. Social and community context: This includes factors such as social support networks, discrimination, and community safety. Strong social supports and positive community connections are associated with better health outcomes, while discrimination and lack of safety can negatively impact health.
4. Healthcare access and quality: Access to affordable, high-quality healthcare is an important socioeconomic factor that can significantly impact a person's health. Factors such as insurance status, availability of providers, and cultural competency of healthcare systems can all affect healthcare access and quality.
5. Neighborhood and built environment: The physical conditions in which people live, work, and play can also impact their health. Factors such as housing quality, transportation options, availability of healthy foods, and exposure to environmental hazards can all influence health outcomes.
Socioeconomic factors are often interrelated and can have a cumulative effect on health outcomes. For example, someone who lives in a low-income neighborhood with limited access to healthy foods and safe parks may also face challenges related to employment, education, and healthcare access that further impact their health. Addressing socioeconomic factors is an important part of promoting health equity and reducing health disparities.
The Patient Protection and Affordable Care Act (ACA) is a comprehensive healthcare reform law passed in 2010 in the United States. Its primary goal is to increase the quality and affordability of health insurance, lower the uninsured rate by expanding public and private insurance coverage, and reduce the costs of healthcare for individuals, businesses, and government.
The ACA achieves these goals through several key provisions:
1. Individual mandate: Requires most individuals to have health insurance or pay a penalty, with some exceptions.
2. Employer mandate: Requires certain employers to offer health insurance to their employees or face penalties.
3. Insurance market reforms: Prohibits insurers from denying coverage based on pre-existing conditions, limits out-of-pocket costs, and requires coverage of essential health benefits.
4. Medicaid expansion: Expands Medicaid eligibility to cover more low-income individuals and families.
5. Health insurance exchanges: Establishes state-based marketplaces where individuals and small businesses can purchase qualified health plans.
6. Subsidies: Provides premium tax credits and cost-sharing reductions to help eligible individuals and families afford health insurance.
7. Prevention and public health fund: Invests in prevention, wellness, and public health programs.
8. Medicare reforms: Improves benefits for Medicare beneficiaries, reduces costs for some beneficiaries, and extends the solvency of the Medicare Trust Fund.
The ACA has been subject to numerous legal challenges and political debates since its passage. Despite these controversies, the law has significantly reduced the number of uninsured Americans and reshaped the U.S. healthcare system.
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20233
- Burnaby, BC, December 1, 2023--Xenon Pharmaceuticals Inc., a neurology-focused biopharmaceutical company, announced that it has commenced an underwritten public offering of $300.0 million of its common shares and, in lieu of common shares to certain investors that so choose, pre-funded warrants to purchase common shares, pursuant to its existing shelf registration statement. (bctechnology.com)
- Burnaby, BC, November 16, 2023--Xenon Pharmaceuticals Inc., a neurology-focused biopharmaceutical company, announced that its partner, Neurocrine Biosciences, Inc., reported that the Phase 2 clinical trial evaluating NBI-921352 in adult patients with focal onset seizures (FOS) failed to demonstrate meaningful reduction in seizure frequency. (bctechnology.com)
- Burnaby, BC, August 21, 2023--Xenon Pharmaceuticals Inc., a neurology-focused biopharmaceutical company, reported financial results for the second quarter ended June 30, 2023 and provided a corporate update. (bctechnology.com)
20211
- Additional funding is provided to influence the supply, regional distribution and quality of general practice services, and support engagement of the health workforce in primary health care settings, through initiatives such as the Practice Incentives Program (PIP), the Workforce Incentive Program (WIP), and Primary Health Networks (PHNs) (Services Australia 2021). (pc.gov.au)
Life Sciences1
- Chubb's dedicated Life Sciences team crafted an integrated insurance portfolio including Package, admitted clinical trial policies in 14 counties, and a Liability Global Extension. (chubb.com)
Hospitals7
- Pharmaceutical negligence is when doctors, hospitals, and pharmaceutical companies fail to follow the legal standards of care. (meritline.com)
- Pharmaceuticals consumed in hospitals are excluded. (who.int)
- Corrections are in connection with the new definition, by which the pharmaceuticals consumed in hospitals are excluded. (who.int)
- 19 private hospitals with 3478 long-stay that include health services among their beds catering to the old and disabled. (who.int)
- Blood services in Ethiopia were provided by the Ethiopian Red Cross Society from 1969 to 2010 through its 12 regional blood banks covering the requirements of 52% of the hospitals in the country. (who.int)
- First of all, evacuees needed to move to neighbouring hospitals or safer evacuation centres because lifeline services were cut off to the first evacuation centre. (who.int)
- This is a portable device that uses artificial intelligence to allow hospitals, pharmacies, pharmaceutical laboratories and quality control centres to verify if certain drugs are genuine or falsified. (who.int)
Financial services2
- We all know that security of information is important, more so when the information concerns banking and financial services, military and defence networks, and various government offices spread all over the globe. (electronicsforu.com)
- Motilal Oswal Financial Services Limited. (motilaloswal.com)
Branded pharmaceutical companies1
- Rather, it is designed to reduce burden for all stakeholders by (1) providing an overview of the drug development process in branded pharmaceutical companies for agents, (2) identifying audit areas that have the highest probability for errors, and (3) providing guidance on the essential information agents need to make a determination as to qualified research expenditures. (irs.gov)
Provision3
- General practice services include preventative care and the diagnosis and treatment of illness and injury, through direct service provision and/or referral to acute (hospital) or other healthcare services, as appropriate. (pc.gov.au)
- According to the draft legislation, as of January 1, 2024, there will be "a compulsory standard in pharmaceutical provision. (medscape.com)
- WHO advocates for the prioritization of adolescent health issue as one of Ethiopia's priority programmes with focus on the provision of adolescent and youth friendly reproductive health services at all levels of the health system. (who.int)
Scheme5
- Neither nation has opted to pursue a government-run insurance scheme. (fraserinstitute.org)
- Under the Pharmaceutical Benefits Scheme (PBS) you pay only part of the cost of most prescription medicines purchased at pharmacies. (privatehealth.gov.au)
- The Commonwealth funds the Pharmaceutical Benefits Scheme (PBS), which subsidises the cost of many medicines in Australia. (pc.gov.au)
- The Repatriation Pharmaceutical Benefits Scheme (RPBS) provides subsidised pharmaceutical medicines, dressings and other items to war veterans and war widows. (pc.gov.au)
- Background: To improve healthcare access and mitigate healthcare costs for its population, Nigeria established a National Health Insurance Scheme (NHIS) in 1999. (bvsalud.org)
Medicines2
- Modern medicines are essential for improving health outcomes, alleviating pain and suffering, increasing longevity, and reducing expenditures on other medical services. (fraserinstitute.org)
- Costa Rica, Guatemala and the United States of America / Study on health insurance systems and access to medicines. (who.int)
Hospital8
- The Health Administration concentration offers training that allows graduates to work in settings such as hospital and health systems management, medical groups, pharmaceutical and biotechnology companies, care management organizations, health IT firms, government/policy organizations, health insurers, consulting firms, and corporate benefits programs. (mtsu.edu)
- If the doctor or hospital in France refuses your EHIC, you can ask your health insurance organization to intervene. (service-public.fr)
- Medicare will also cover some or all the costs of seeing a GP or specialist outside of hospital, and some pharmaceuticals. (privatehealth.gov.au)
- Medicare does not cover private patient hospital costs, ambulance services, and other out of hospital services such as dental, physiotherapy, glasses and contact lenses, hearings aids. (privatehealth.gov.au)
- hospital , medical and pharmaceutical . (privatehealth.gov.au)
- When you visit a doctor outside a hospital, Medicare will reimburse 100% of the Medicare Benefits Schedule (MBS) fee for a general practitioner and 85% of the MBS fee for service provided by a specialist. (privatehealth.gov.au)
- At the same time, demand for acute care and hospital services provided in times of health need is less responsive to price. (who.int)
- The national estimates produced from these studies describe the utilization of hospital ambulatory medical care services in the United States. (cdc.gov)
20192
- (AUSTIN) May 22, 2019 - Locke Lord Austin Partner Susan Kidwell is the 2019 recipient of the Pro Bono Attorney Award from the Travis County Women Lawyers' Association and Foundation (TCWLA/F)‎. Attorney award honorees are nominated by their peers and selected based on their contributions to the legal profession, their service to the local community and the positive atmosphere they create in the workplace. (lockelord.com)
- Pricing health services is a key component in purchasing the benefits package (the covered services) within the overall financing system (Evetovits, 2019). (who.int)
Industries1
- The majority of the companies are in the health/medical services, real estate/insurance, finance/banking, technology, and retail industries. (trainingmag.com)
Companies13
- Many lawyers and firms specialize in suing pharmaceutical companies. (pharmamanufacturing.com)
- Some companies cannot afford insurance. (pharmamanufacturing.com)
- Both provide universal pharmaceutical coverage as a fundamental component of universal health insurance coverage, which is provided through regulated, competing, private insurance companies. (fraserinstitute.org)
- This professional will provide insurance companies with the facts that they need to accept your claim. (meritline.com)
- Among other things, the "Consumer Choice Motor Vehicle Insurance Act" lowers the minimum amount that insurance companies typically must insure motorists for under state law in auto accidents. (prwatch.org)
- Hyped as greater "choice" for consumers in the bill's title, the law can mean lower payouts for insurance companies, yielding higher profits. (prwatch.org)
- Health-care companies dominated the rest of the Top 5, with Capital BlueCross, CHG Healthcare Services, and Blue Cross Blue Shield of Michigan notching Nos. (trainingmag.com)
- The employment team at Gunbay Kural Abbasoglu Law Firm provides assistance to leading companies from a variety of sectors, including food and beverage, recruitment, luxury goods, tools, aerospace, defence and insurance. (legal500.com)
- It also explores nonprofit organizations and pharmaceutical companies that offer assistance programs. (medicalnewstoday.com)
- Information asymmetry is also present in health insurance markets, since insurers do not know what health conditions consumers have - thus leading health insurance companies (where unregulated) to implement policies to reduce their risks of accepting high risk patients. (who.int)
- Health insurance companies are endorsing Lauterbach's proposed legislation as an "urgently required switch to a digital healthcare system," as reported in a statement by Doris Pfeiffer, chair of the National Association of Statutory Health Insurance Funds. (medscape.com)
- Insurance Companies: Thumbscrews or the Iron Maiden? (medscape.com)
- First, insurance companies: I was fortunate to attend a recent talk given by Robert Walshon about the healthcare insurance industry. (medscape.com)
Newell1
- Risk Factors & Overheated Insurance Valuations - Peter Newell - Vontobel Asset Management, Inc. (twst.com)
Lawyers2
- Many plaintiff lawyers see the pharmaceutical industry as a target-rich environment. (pharmamanufacturing.com)
- See Laurie's recent post on RxISK - Over the Top: Tackling Medical Power and for pharmaceutical lawyers on the issue or Rape and Consent - see Dangerous Liaisons II . (davidhealy.org)
Cannot afford1
- Those without insurance or who cannot afford treatment can explore pharmaceutical patient assistance programs and cost-sharing assistance programs. (cdc.gov)
Products6
- The IDC MarketScape report says, 'Clients in Asia Pacific (APAC) rated their providers, in aggregate, best at helping them with the following business priorities: improving internal operations, transforming critical processes, and developing digital products and services. (pwc.com)
- We work with you to provide the insurance products and services that are right for your business. (chubb.com)
- If you have a customer service inquiry regarding one of our products, a subscription concern, or any other question that does not involve the licensing of our content, then please visit our Customer Service page for assistance. (harvard.edu)
- One attendee, Cargill, defines strategic sourcing as "a structured and collaborative approach with our businesses, functions and joint ventures" that helps the company "analyse, understand, plan, develop, communicate and implement provisioning strategies that go beyond the prices of the products and services. (achilles.com)
- A concept that examines a culture in which harm from pharmaceutical products is pervasive and normalized due to societal attitudes about medicine and health care. (davidhealy.org)
- It includes the consumption of pharmaceutical products supplied on prescriptions and obtained for self-medication (often referred to as over-the-counter products). (who.int)
Liability7
- Chubb protects the firm against both domestic and international risks, by providing Property, Liability, and Professional / Management Liability insurance. (chubb.com)
- Winning the product liability game means few claims, modest payments, winning cases taken to court, leveraging the best terms on product liability insurance coverage and focusing energies on running a profitable business. (pharmamanufacturing.com)
- To win the product liability claims game, pharmaceutical manufacturers need sound blueprints. (pharmamanufacturing.com)
- In the realm of product innovation and product liability, every pharmaceutical company wants to be the victorious survivor. (pharmamanufacturing.com)
- For pharmaceutical manufacturers, losing the product liability "game" does not mean being voted off the island. (pharmamanufacturing.com)
- For many reasons, pharmaceutical firms may want to retain or self-insure their product liability exposure. (pharmamanufacturing.com)
- In Wisconsin, for example, Governor Scott Walker signed legislation within weeks of taking office in 2011 that reduced the state's minimum coverage for auto liability insurance by half. (prwatch.org)
Government10
- Calls for government-operated universal drug insurance programs, commonly referred to as Pharmacare, can regularly be found in the nation's media. (fraserinstitute.org)
- What is missing in the discussion around these proposals is perspective on the merits of such expansion, and whether government-run insurance with limited patient payments is the best approach to providing drug insurance coverage to all Canadians. (fraserinstitute.org)
- Importantly, rather than become an insurance provider, the government generally supports consumer choice for lower-income individuals by allowing them to choose their insurer and remain active players in the insurance market. (fraserinstitute.org)
- We'd like to set additional cookies to understand how you use GOV.UK, remember your settings and improve government services. (www.gov.uk)
- The U.S. federal government is the largest buyer of goods and services in the world and can be a particularly steady source of business in difficult economic times. (alston.com)
- Not surprisingly, the federal government and virtually every state and local government have established complex contracting and dispute-resolution regulations to serve the dual purposes of obtaining needed goods and services and protecting taxpayer funds. (alston.com)
- Primary and community health services are delivered by a range of health and allied health professionals in various private, not‑for‑profit and government service settings. (pc.gov.au)
- The Australian Government provides the majority of general practice income, through Services Australia - mainly as fee for service payments via the Medicare Benefits Schedule (MBS) - and the Department of Veterans' Affairs (DVA). (pc.gov.au)
- A pharmaceutical rape culture condones harms caused by the industry-government-medical trade alliance because the culture produces, reproduces, and is completely saturated with "information" that supports that alliance. (davidhealy.org)
- In 2010, the Federal Ministry of Health (FMoH) reverted the blood transfusion responsibility to the National Blood Transfusion Service (NBTS) from the Ethiopian Red Cross to the Government led and managed service under the FMoH and the regional health bureaus. (who.int)
Expenses1
- The remainder comes primarily from insurance schemes (for example, workers compensation schemes and traffic accident schemes that cover medical expenses is certain circumstances) and patient contributions. (pc.gov.au)
Company4
- Still others don't want to delegate the handling of their claims to an insurance company. (pharmamanufacturing.com)
- New Relic, Inc. , the software analytics company, today announced that in the past 12 months, the company has acquired more than 500 large enterprise customers for its software-as-a-service application performance management solution for mobile and web applications. (newrelic.com)
- The company announced its vision and provided a preview of its forthcoming service code-named Rubicon, at October's FutureStack13, its first technology and user conference. (newrelic.com)
- The Hartford is the only AARP-approved insurance company. (consumeraffairs.com)
Insurer2
- Despite calls from Color of Change , the Center for Media and Democracy and other public interest groups to cut ties with the American Legislative Exchange Council (ALEC), State Farm Insurance , the nation's largest auto insurer and a major insurer of homes, has maintained both membership and leadership in the organization. (prwatch.org)
- State Farm's participation on ALEC's insurance committee has put the insurer in a position to benefit from several major pieces of insurance industry model legislation. (prwatch.org)
Provide8
- Purpose: The intent of this document is to provide audit technique guidelines for IRS agents and managers examining the credit for increasing research activities claimed by taxpayers in the pharmaceutical industry. (irs.gov)
- The report states: 'PwC's differentiation in the Oracle implementation services market is hinged on its ability to draw on the strength of its service lines in advisory, tax, and assurance to provide a business-led approach to Oracle-enabled transformations. (pwc.com)
- We provide personalized service for your specific insurance needs. (chubb.com)
- This essay examines how Switzerland and the Netherlands, two nations with high-performing, universal access health care systems, provide drug insurance coverage to their populations. (fraserinstitute.org)
- Both nations have been found to provide more timely access to higher-quality health care services at a cost similar to or lower than Canada. (fraserinstitute.org)
- Google Translate is a free, automated service that relies on data and technology to provide its translations. (maryland.gov)
- Its home insurance policies are flexible and provide multiple discount opportunities. (consumeraffairs.com)
- Provide treatment where people already receive services, such as primary care offices, community clinics, syringe services programs, substance use treatment centers, and correctional facilities. (cdc.gov)
Centers2
- The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. (cdc.gov)
- The World Health Organization Country Office for Ethiopia, with support from the United States Centers for Disease Control and Prevention (CDC), has been supporting the expansion of the blood safety programme in Ethiopia to establish an efficient and sustainable national blood transfusion service. (who.int)
Reimbursement2
- The ACT Program provides free reimbursement support services to help answer questions related to insurance coverage and reimbursement. (maryland.gov)
- commodification: An attitude about patients that is limited to placing primary value on what goods or services can be employed for reimbursement or compensation. (davidhealy.org)
Funds1
- 2 Retention - Retention occurs when a pharmaceutical firm funds its own losses instead of paying them through insurance or other means. (pharmamanufacturing.com)
Sectors1
- Their dynamic events, data services, and rich content entertain and educate today's lifestyle sectors. (chubb.com)
Nonprofit organizations1
- More than three million people in Florida have received direct health services as a result of grants made to nonprofit organizations since our founding in 2001. (prnewswire.com)
Primary3
- You can also be reimbursed in France from the primary health insurance fund of the place of care on presentation of proof (medical prescription, care sheet. (service-public.fr)
- This section reports on the performance of primary and community health services which include general practice, pharmaceutical services, dentistry, allied health services, community health services, maternal and child health and alcohol and other drug treatment. (pc.gov.au)
- Governments aim for primary and community health services to meet these objectives in an equitable and efficient manner. (pc.gov.au)
Analytics2
- from new service development and increased competitiveness, to a better understanding of their business that can be derived from data analytics," says Andrew Brown, Strategy Analytics' executive director of IoT and mobility. (businessfacilities.com)
- New Relic also anticipates more demand from large enterprises when its software analytics service becomes available in 2014, giving users big data metrics in real time, helping them make better, more agile business decisions. (newrelic.com)
Health insurance fund1
- Only persons whose EHIC has expired need to apply for this comprehensive health insurance card from their health insurance fund in the UK. (service-public.fr)
Industry3
- Parker Waichman in Long Island , NY, is one law firm that many people in the pharmaceutical negligence insurance industry trust. (meritline.com)
- The most prominent of these, in the auto insurance industry, may be the Consumer Choice Motor Vehicle Insurance Act . (prwatch.org)
- destinationCRM.com is dedicated to providing Customer Relationship Management product and service information in a timely manner to connect decision makers and CRM industry providers now and into the future. (destinationcrm.com)
Telehealth1
- Also honored were Angie Romagosa , a long-time community service leader in Seminole County , the I.M. Sulzbacher Center for the Homeless in Duval County , and Seminole County mental health nonprofit IMPOWER's telehealth program. (prnewswire.com)
Education1
- Twambilile Phanga is a researcher and an advocate who is also passionate about projects that promote rights, education and health of adolescents for example the Youth Friendly Health Services (YFHS) project in Malawi under ther University of North Carolina (UNC) Project. (who.int)
Firms1
- These will financially buttress pharmaceutical firms from the liabilities flowing from claims, lawsuits and adverse patient outcomes. (pharmamanufacturing.com)
Clinical1
- Introduction to the application of techniques and interpretation of results that are commonly used to plan, analyze, and report clinical and health services research. (psu.edu)
Coverage4
- The lower minimum coverage can also mean that consumers who thought they had insurance for serious accidents do not have enough to cover the injured parties. (prwatch.org)
- Services that offer coverage for the account holder, dependents, and pets. (medicalnewstoday.com)
- Implementing UHC reflects three dimensions of coverage: who is covered, what services are covered, and how much will be paid. (who.int)
- Individuals with insurance among adults with type 2 diabetes, and this mode of deliv- often do not have pharmaceutical coverage and must ery is likely to increase the cultural relevancy and appro- decide whether to buy food or medicine. (cdc.gov)
Public2
- O)ur work with ALEC is limited to research projects for use by public officials considering matters that impact the affordability and accessibility of insurance," a State Farm vice president wrote to Wisconsin insurance holder Samuel Hokin in response to concerns raised about ALEC last year. (prwatch.org)
- Can we not expect a public service television channel to attempt to discriminate? (indexoncensorship.org)
Research1
- Research & Advisory services is backed by proper research. (motilaloswal.com)
Practice1
- Although her appellate practice is broad, she has particular experience in matters involving arbitration, administrative law, statutory construction, insurance/contract construction, mortgage litigation and personal jurisdiction. (lockelord.com)
Insurers1
- Most insurers will have limits on how much you can claim per service and per year. (privatehealth.gov.au)
Pharmacies2
- Services that offer discounts that are valid in a range of pharmacies. (medicalnewstoday.com)
- Similar to SingleCare, individuals can save up to 80% on prescription drugs with the service, which collaborates with more than 62,000 pharmacies. (medicalnewstoday.com)
Complex3
- Increasing demand for real-time insight is being driven by rapid mobile app development, the proliferation of modern development languages, increased business unit independence when it comes to buying monitoring services and the need for end-to-end root cause analysis across complex multi-tier environments. (newrelic.com)
- It is a complex set of beliefs that encourages capitalistic, pharmaceutical domination of healthcare and supports everyday harms in medical and mental health care settings. (davidhealy.org)
- In example, if prices are set too low for capitation payments, this could result in low quality care, provider selection of healthier patients, or referral of complex cases that require a higher intensity of services to another service provider. (who.int)
Medication3
- This expert is essential in helping you understand how to maximize your pharmaceutical negligence claims since he can determine whether or not you made errors in the production of your medication. (meritline.com)
- Together with the ePA, patients with insurance will automatically be issued a digital overview of their medication. (medscape.com)
- However, insured patients can decline the automatic transfer of medication information from the electronic prescription service to the ePA. (medscape.com)
Sector1
- The team is a trustworthy solution partner in consultancy and litigation matters and gives advice and provides services based on analysing the legal issues through sector specific perspective and know-how. (legal500.com)
System4
- News reports about the autopsy of an American comedian who committed suicide that declares no drugs or alcohol were found in his system while completely omitting mention of the pharmaceutical drugs that were in his system. (davidhealy.org)
- Pharmaceutical expenditure corresponds to the total of the provider category Hc5 following the ?System of health accounts 2011? (who.int)
- The study population was composed of members of the Mutualité Sociale Agricole (MSA), a health insurance system for workers in agriculture and related services. (cdc.gov)
- Placing the Blood Transfusion Service (BTS) under the mainstream health care delivery system has improved efficiency of managing the blood banks to ensure the whole population has access to safe blood supply. (who.int)
Claims4
- Pharmaceutical negligence claims are complicated and can be difficult to prove. (meritline.com)
- This article will discuss three easy tips for maximizing pharmaceutical negligence claims. (meritline.com)
- Their services range from claims management to consultation. (meritline.com)
- To maximize your pharmaceutical negligence claims, you need to seek out professionals. (meritline.com)