9781568028521

Preface

Abortion

(8)

Academic health centers (AHCs)

(1)

Accreditation Council on Graduate Medical Education (ACGME)

(1)

Acquired Immune Deficiency Syndrome (AIDS)

(2)

Activities of daily living (ADLs)

(1)

Adjusted average per capita cost (AAPCC)

(1)

Adjusted community rate (ACR)

(1)

Adolescent family life program (AFLP)

(1)

Advanced directives

(1)

Advanced practice nurse

(1)

Adverse selection

(1)

Agency for Health Care Policy and Research (AHCPR)

(1)

Agency for Health Care Research and Quality (AHRQ)

(1)

Agency for Toxic Substances and Disease Registry (ATSDR)

(1)

Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA)

(1)

Alternative medicine

(1)

American Association of Health Plans (AAHP)

(1)

American Association of Retired Persons (AARP)

(1)

American Medical Association (AMA)

(1)

Americans with Disabilities Act (ADA)

(2)

Assignment (Medicare)

(1)

Association Health Plans (AHPs)

(1)

Average Wholesale price

(2)

Balance billing (Medicare)

(1)

Baseline

(1)

Beneficiary

(1)

Bioterrorism

(2)

Blue Cross/Blue Shield Association (BCBSA)

(1)

Boren amendment

(1)

Budget reconciliation legislation and health care

(5)

Cafeteria benefits plans

(1)

California Public Employee Retirement System (CalPERS)

(1)

Capitation

(1)

Carrier (Medicare)

(1)

Carve-out organizations

(1)

Catastrophic illness

(1)

Categorical eligibility

(1)

Centers for Disease Control and Prevention (CDC)

(2)

Centers for Medicare and Medicaid Services

(1)

Certified nurse midwife

(1)

Certified registered nurse anesthetist (CRNA)

(1)

Child Custody Protection Act

(1)

Civilian Health and Medical Program of the Uniformed Services (CHAMPUS)

(1)

Clinical Laboratory Improvement Act (CLIA)

(1)

Clinical nurse specialist (CNS)

(1)

Clinical practice guidelines

(1)

Clinical trials

(1)

Cloning, human

(3)

Coinsurance

(1)

Common rule

(1)

Community health centers

(1)

Community rating

(1)

Congressional Budget Office (CBO)

(1)

Conscience clause

(1)

Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA)

(1)

Consumer-driven health plans

(1)

Contraceptive coverage

(1)

Cost shifting

(1)

Crowd out

(1)

Current procedural terminology (CPT) codes

(2)

Deductible

(1)

Defined benefit

(1)

Defined contribution

(1)

Diagnosis-related group (Medicare)

(1)

Dietrary supplement rules

(2)

Direct medical education payment

(1)

Disease management

(1)

Disproportionate share hospital (DSH) payments (Medicare and Medicaid)

(1)

``Do-not-resuscitate'' orders

(1)

Drive-through deliveries

(1)

Dual eligibles

(2)

Durable power of attorney for health care

(1)

Early and Periodic Screening, Diagnostic, and Treatment (EPSDT; Medicaid)

(1)

Embryo research

(1)

Emerency contraception

(2)

Employee Retirement Income Security Act (ERISA)

(1)

End-stage renal disease (Medicare)

(1)

Entitlement

(1)

Evidence-based medicine

(1)

Experience rating

(1)

External review

(1)

False Claims Act

(1)

Federal Employee Health Benefits Plan (FEHBP)

(1)

Federal Food, Drug, and Cosmetic Act (FFDCA)

(1)

Federal medical assistance percentages (FMAPs)

(1)

Federally qualified health centers (FQHCs)

(1)

Fee-for-service

(1)

Fetal tissue research

(2)

First-dollar coverage

(1)

Food and Drug Administration (FDA)

(1)

Formulary

(1)

Freedom of Access to Clinic Entrances Act (FACE)

(1)

Freedom of Choice Act

(2)

Gag clauses (in managed care)

(1)

Gag rule (in abortion)

(1)

Gatekeeper

(1)

Generic drugs

(2)

Genetic discrimination

(1)

Global tobacco settlement

(2)

Graduate medical education (GME)

(1)

Guaranteed issue

(1)

Guaranteed renewability

(2)

Health and Human Services Department (HHS)

(2)

Health Care Financing Administration (HCFA)

(1)

Health care fraud and abuse

(2)

Health care spending

(2)

Health Insurance Association of America (HIAA)

(1)

Health Insurance Portability and Accountability Act (HIPAA)

(4)

Health jurisdiction in Congress

(1)

Health maintenance organization (HMO)

(1)

Health Plan

(1)

Health Plan Employer Data and Information Set (HEDIS)

(1)

Health professional shortage area (HPSA)

(1)

Health Resources and Services Administration (HRSA)

(1)

Health Security Act

(3)

Health services research

(1)

Hill-Burton Act

(1)

Home health care

(1)

Hospice

(1)

Hospital Insurance (HI)

(1)

Hospitalist

(1)

House Appropriations Committee

(1)

House Education and Workforce Committee

100

(1)

House Energy and Commerce Committee

100

(1)

House Ways and Means Committee

100

(1)

Human research subject protection

100

(2)

Hyde amendment

102

(4)

ICD-9 codes

106

(1)

Incidence

106

(1)

Income-related premium

106

(1)

Indian Health Service

107

(1)

Indirect Medical Education Payments (IME)

108

(1)

Infertility clinic regulation

108

(1)

Informed consent

109

(1)

Institute of Medicine

109

(1)

Institutional Review Boards (IRBs)

109

(2)

Intermediary (Medicare)

111

(1)

Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

112

(1)

Judicial bypass

112

(1)

Kennedy-Kassebaum law

113

(1)

Kerr-Mills bill

113

(1)

Labor-Health and Human Services-Education Appropriation (Labor-HHS)

114

(1)

Late-term abortion

114

(1)

Lifetime limits

115

(1)

Living wills

115

(1)

Long-term care

115

(1)

Loss ratios

116

(1)

Managed behavioral health care

117

(1)

Managed care

117

(3)

Managed competition

120

(1)

Maternal and Child Health (MCH) Services Block Grant

120

(1)

Means testing (Medicare)

120

(1)

Medicaid

121

(5)

Medicaid drug rebate program

126

(1)

Medical Device User Fee Act

127

(1)

Medical errors

127

(2)

Medical malpractice

129

(3)

Medical necessity

132

(1)

Medical records confidentiality

132

(3)

Medical savings accounts (MSAs)

135

(1)

Medical underwriting

136

(1)

Medically needy

137

(1)

Medicare

137

(9)

Medicare Catastrophic Coverage Act

146

(2)

Medicare+Choice

148

(2)

Medical givebacks

150

(1)

Medicare Payment Advisory Commission (MedPAC)

151

(1)

Medigap insurance

151

(2)

Mental health parity

153

(2)

Mexico City policy

155

(2)

Mifepristone

157

(1)

Migrant health centers

157

(1)

NARAL-Pro-Choice America

158

(1)

National Association of Insurance Commissioners (NAIC)

158

(1)

National Bipartisan Commission on the Future of Medicare

158

(1)

National Committee for Quality Assurance (NCQA)

159

(1)

National Federation of Independent Business (NFIB)

160

(1)

National Health Services Corps

160

(1)

National Institutes of Health (NIH)

161

(2)

National Practitioner Data Bank

163

(1)

National Right to Life Committee (NRLC)

164

(1)

Needle exchange

165

(1)

Nuclear transplantation

166

(1)

Nurse practitioner (NP)

166

(1)

Nursing home standards

166

(1)

Nutrition Labeling and Education Act (NLEA)

167

(2)

Off-label use

169

(1)

Oregon Health Care Plan

169

(2)

Organ donations and transplants

171

(2)

Orphan drugs

173

(1)

Outcomes

173

(1)

Parental consent

174

(1)

Parental involvement laws

174

(1)

Parental notification

175

(1)

Partial-birth abortion

176

(4)

Participating physician (Medicare)

180

(1)

Patient ``dumping''

180

(1)

Patients' Bill of Rights (PboR)

181

(3)

Patient Self-Determination Act of 1990

184

(1)

Payers

185

(1)

Pediatric exclusivity

185

(1)

Pediatric Rule

186

(1)

Peer review

187

(1)

Pepper Commission

187

(1)

Personal Responsibility and Work Opportunity Reconciliation Act

188

(1)

Pharmacy benefit managers

188

(1)

Physician assistants

189

(1)

Physician Payment Review Commission

189

(1)

Planned Parenthood Federation of America (PPFA)

189

(2)

Planned Parenthood of Southeastern pennsylvania v. Casey

191

(1)

Play or pay

191

(1)

Point of service plan (POS)

191

(1)

Portability

191

(1)

Poverty statistics

192

(1)

Preexisting condition

193

(1)

Preferred provider orgnaization (PPO)

193

(1)

Premiums

193

(1)

Premium support

194

(1)

Prescription Drug User Fee Act (PDUFA)

194

(1)

Prevalence

195

(1)

Primary care

195

(1)

Primary care physician (PCP)

195

(1)

Prior authorization

196

(1)

Private contracting (Medicare)

196

(1)

Private fee-for-service (Medicare)

197

(1)

Program of All-Inclusive Care for the Elderly (PACE)

198

(1)

Prospective payment systems (PPS)

198

(1)

Providers

199

(1)

Provider-sponsored organizations (PSOs)

199

(1)

Prudent layperson

199

(1)

Public health

200

(1)

Public Health Service (PHS)

200

(2)

Public Health Service, Commissioned Corps

202

(1)

Qualified Medicare beneficiary (QMB)

203

(1)

Qualifying Individual Program (QI-1 and QI-2)

203

(1)

Quality improvement organizations (QIO)

204

(1)

Rationing

205

(1)

Referral

205

(1)

Regenerative medicine

205

(1)

Reimportation, prescription drug

206

(2)

Report cards

208

(1)

Residency review committees (RRCs)

208

(1)

Resource-baased relative value scale

208

(1)

Respite care

208

(1)

Retiree health insurance

208

(1)

Ribicoff children

209

(1)

Ricky Ray Hemophilia Relief Fund Act

209

(1)

Risk adjustment

210

(1)

Roe v. Wade

210

(1)

RU486

211

(3)

Ryan White Comprehensive AIDS Resource and Emergency (CARE) Act

214

(2)

Safety net facilities

216

(1)

Secondary care

216

(1)

Secondary payer (Medicare)

217

(1)

Self-insurance

217

(1)

Self-referral curbs

217

(1)

Senate Appropriations Committee

218

(1)

Senate Finance Committee

219

(1)

Senate Health, Education, Labor and Pensions Committee (HELP)

219

(1)

Single payer

220

(1)

Small market variation

221

(1)

Social Security Act

221

(1)

Social Security Disability Insurance (SSDI)

222

(1)

Somatic cell nuclear transfer

222

(1)

Specialty care

222

(1)

Specified Low-Income Medicare Beneficiaries (SLMB)

223

(1)

Spend-down

223

(1)

Spousal improverishment

223

(1)

State Children's Health Insurance Program (SCHIP)

224

(1)

Stem cell research

225

(2)

Stem cells

227

(1)

Substance Abuse and Mental Health Services Administration (SAMHSA)

228

(1)

Suicide, assisted

228

(2)

Supplemental Medical Insurance (SMI)

230

(1)

Supplemental Security Income (SSI)

230

(1)

Surgeon general of the United States

231

(3)

Taft-Hartley plans

234

(1)

Technology assessment

234

(1)

TennCare

234

(2)

Tertiary care

236

(1)

Tiered pricing

236

(1)

Title X Family Planning Program

236

(2)

TRICARE

238

(1)

Tuskegee experiments

238

(2)

Unborn Victims of Violence Act

240

(1)

Uncomensated care

240

(1)

Underinsured

240

(1)

Underwriting

241

(1)

Uninsured

241

(2)

Unions, doctor

243

(1)

United Nations Population Fund (UNFPA)

244

(2)

United Network for Organ Sharing (UNOS)

246

(1)

Universal coverage

246

(1)

Upper Payment Limit (UPL)

247

(1)

Utilization review (UR)

248

(1)

Veternas health care

249

(1)

Voluntary health agencies (VHAs)

250

(1)

Webster v. Reproductive Health Services

251

(1)

WIC (Special Supplemental Nutrition Program for Women, Infants, and Children)

252

(1)

Women's Health, Office of Research on

253

(1)

Zidovudine

254

(1)

Reference Material

255

(16)

Health Policy Time Line

257

(4)

Health Care Policy Acronyms

261

(2)

Amazon no longer offers textbook rentals. We do!

Amazon no longer offers textbook rentals. We do!

We're the #1 textbook rental company. Let us show you why.

Health Care Policy and Politics A to Z

1568028520

Summary

Author Biography

Table of Contents

Supplemental Materials

Rewards Program