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Varying premiums based on age. The ACA will cap the maximum variation for age at 3:1. Minnesota law already limits maximum variation for age to a 3:1 ratio (Minn. Stat. 62A.65 Subd. 3 for individual policies and 62L.08 Subd. 3 for small group policies).
- Browse Related Terms: Actuarial justification, Adjusted community rating, Age Rating, Annual Limit, Community rating, Guaranteed Issue, Guaranteed renewability, Guaranteed Renewal, Health Status Rating, Interstate compact, Lifetime limit, Medical Loss Ratio (MLR), Multi-state plan, Qualified health plan, Rate Review, Rating Factors, Rescission, Risk Adjustment, Small group market
All > Healthcare > Medicine > Cancer > Cancer Statistics
A statistical method allowing comparisons of populations that takes into account age-distribution differences between populations. Most incidence and death data in SEER are age-adjusted, although some tables, in contrast, present the crude rate. Age-adjusting takes the 2000 US population distribution and applies it to other time periods under consideration. This assures that such rates do not reflect any changes in the population age distribution. Rates can be adjusted for the distribution of other characteristics such as race/ethnicity.
Most data in SEER have been age-adjusted to the 2000 US standard population. This allows comparison across racial groups taking into account differences in age structure of the populations. For example, the average age of many Hispanic/Latino populations is less than that of other racial/ethnic groups. Therefore, it sometimes appears that these groups have lower cancer incidence rates than other groups. However, by adjusting for age, more accurate comparisons can be made. See Calculating Age-adjusted Rates for further information.
- Browse Related Terms: Age-Adjusted Rate, Age-Specific Rate, Crude Probability of Death, Crude Rate, Death Rate, Fast Stats, Life Tables, mortality, relative survival rate, standard error, Standard Million Population, Standard Population, Surveillance Data (Cancer), Survival, Cause-specific, Survival, Net, Survival, Observed, Survival, Period, Survival, Relative
All > Healthcare > Medicine > Cancer > Cancer Statistics
A term related to lifetime risk. The probability of developing cancer starting at a specific age and during a specified number of years.
- Browse Related Terms: Age-Conditional Risk, Annual Percent Change (APC), Confidence Interval, Incidence Rate, Joinpoint, Joinpoint Software, Lifetime Risk, Percent Change, Probability, Probability of Developing Cancer, Probability of Dying of Cancer, Spatial Correlation, statistically significant, Trends Over Time
All > Healthcare > Medicine > Cancer > Cancer Statistics
The rate of incidence or mortality of a specific age group, calculated per 100,000 people.
- Browse Related Terms: Age-Adjusted Rate, Age-Specific Rate, Crude Probability of Death, Crude Rate, Death Rate, Fast Stats, Life Tables, mortality, relative survival rate, standard error, Standard Million Population, Standard Population, Surveillance Data (Cancer), Survival, Cause-specific, Survival, Net, Survival, Observed, Survival, Period, Survival, Relative
All > Healthcare > Medicine > Healthcare Associated Infections
A division of Department of Health and Human Services.
- Browse Related Terms: 508 Compliance, Agency for Healthcare Research and Quality (AHRQ), Center for Disease Control and Prevention (CDC), Center for Medicare and Medicaid Services (CMS), Centers for Disease Control and Prevention (CDC), Centers for Medicare and Medicaid (CMS), Georgia Healthcare-Acquired Infections Advisory Committee (GHAIAC), Health Resources Services Agency (HRSA), Office of Healthcare Quality (OHQ), Preventable
All > Healthcare > Medicine > HIV/AIDS
Federal agency within HHS that supports research designed to improve the outcomes and quality of health care, reduce its costs, address patient safety and medical errors, and broaden access to effective services.
All > Healthcare > Health Insurance
An agent or broker is a person or business who can help you apply for help paying for coverage and enroll you in a Qualified Health Plan (QHP) through the Marketplace. They can make specific recommendations about which plan you should enroll in. They’re also licensed and regulated by states and typically get payments, or commissions, from health insurers for enrolling a consumer into an issuer’s plans. Some agents and brokers may only be able to sell plans from specific health insurers.
In the insurance industry, an agent is appointed by an insurance company to sell insurance policies. The agent represents the insurance company, not the insured.
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All > Healthcare > Medicine > Drug
A chemical entity that binds to a receptor and activates it, mimicking the action of the natural (or abused) substance that binds there.
- Browse Related Terms: Active Ingredient, agonist, antagonist, Biological Product, Buprenorphine, Detoxification, Drug, methadone, Opioid, Therapeutic Biological Product
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All > Healthcare > Medicine > HIV/AIDS
Administered by States and authorized under Part B of the Ryan White Treatment Modernization Act. Provides FDA-approved medications to low-income individuals with HIV disease who have limited or no coverage from private insurance or Medicaid. ADAP funds may also be used to purchase insurance for uninsured Ryan White HIV/AIDS Program clients as long as the insurance costs do not exceed the cost of drugs through ADAP and the drugs available through the insurance program at least match those offered through ADAP.
- Browse Related Terms: AIDS Drug Assistance Program (ADAP), Centers for Disease Control and Prevention (CDC), Centers for Medicare and Medicaid Services (CMS), Chief Elected Official (CEO), Grantee, Health Insurance Continuity Program (HICP), Health Resources and Services Administration (HRSA), HIV/AIDS Bureau (HAB), Housing Opportunities for People With AIDS (HOPWA), Intergovernmental Agreement (IGA), Lead Agency, Office of Management and Budget (OMB), Public Health Service (PHS), Section 340B Drug Discount Program, Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Housing and Urban Development (HUD)
All > Healthcare > Medicine > HIV/AIDS
Regional centers providing education and training for primary care professionals and other AIDS-related personnel. Part F (AETC)s are authorized under Part F of the Ryan White HIV/AIDS Program and administered by the HRSA HIV/AIDS Bureau's Division of Training and Technical Assistance (DTT).
- Browse Related Terms: AIDS Education and Training Center (AETC), Community Based Dental Partnership Program (CBDPP), Community Programs for Clinical Research on AIDS (CPCRA), Division of Community Based Programs (DCBP), Division of Science and Policy (DSP), Division of Service Systems (DSS), Division of Training and Technical Assistance (DTTA), HIV/AIDS Dental Reimbursement Program, Part F (AETC) (AIDS Education and Training Center), Part F (Community Based Dental Partnership Program), Part F (HIV/AIDS Dental Reimbursement Program)
All > Healthcare > Medicine > HIV/AIDS
An organization that provides primary medical care and/or support services to populations infected with and affected by HIV disease.
- Browse Related Terms: AIDS Service Organization (ASO), Antiretroviral, Co-morbidity, Community-based Organization (CBO), Food and Drug Administration (FDA), High-Risk Insurance Pool, Highly Active Antiretroviral Therapy (HAART), Multiply Diagnosed, Opportunistic Infection (OI) or Opportunistic Condition, prophylaxis, Salvage Therapy
All > Healthcare > Medicine > Hantavirus
In this type of transmission, infective agents are spread as aerosols, and usually enter a person through the respiratory tract. Aerosols are tiny particles, consisting in part or completely of the infectious agent itself, that become suspended in the air. These particles may remain suspended in the air for long periods of time, and some retain their ability to cause disease, while others degenerate due to the effects of sunlight and dryness. When a person breathes in these particles, they become infected with the agent—especially in the alveoli of the lungs. (see also airborne transmission)
Small particles of many different sizes contaminated with the infective agent may rise up from soil, clothes, bedding or floors when these are moved, cleaned or blown by wind. These dust particles may be fungal spores—infective agents themselves—tiny bits of infected feces, or tiny particles of dirt or soil that have been contaminated with the agent.
Droplet nuclei can remain in the air for a long time. Droplet nuclei are usually the small residues that appear when fluid emitted from an infected host evaporates. In the case of the virus causing hantavirus pulmonary syndrome, the rodent carriers produce urine. The act of spraying the urine may create the aerosols directly, or the virus particles may rise into the air as the urine evaporates. In other situations, the droplets may occur as an unintended result of mechanical or work processes or atomization by heating, cooling, or venting systems in microbiology laboratories, autopsy rooms, slaughterhouses or elsewhere.
Both kinds of particles are very tiny. Larger droplets or objects that may be sprayed or blown but that immediately settle down on something rather than remaining suspended, are not considered to belong to the airborne transmission mechanism. Such sprays are considered direct transmission.
- Browse Related Terms: Airborne transmission, Direct transmission, Indirect transmission, Risk, transmission of infectious agents (such as a virus), Vehicle-borne transmission
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Alimony is money you get from a spouse with whom you no longer live, or a former spouse, if paid to you as part of a divorce agreement, separation agreement, or court order. Payments designated in the agreement or order as child support or as a non-taxable property settlement aren’t alimony.
- Browse Related Terms: Alimony, Cancelled Debts, Capital Gains, dividend, Income Level, Investment Income, Net Rental Income, Rental or Royalty Income, Self-Employment Income
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An abnormally high sensitivity to certain substances, such as pollens, foods, or microorganisms. Common indications of allergies may include sneezing, itching, and skin rashes.
- Browse Related Terms: Acid Reflux, Allergy, Anesthesia, Bipolar Disorder, Complication, Hepatitis B, hysterectomy, Long-term Care, Medication/Medicine, Morbidity, prognosis, Surgery
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- Maximum amount on which payment is based for covered health care services. This may be called “eligible expense,” “payment allowance" or "negotiated rate." If your provider charges more than the allowed amount, you may have to pay the difference. (See Balance Billing)
Maximum amount on which payment is based for covered health care services. This may be called “eligible expense,” “payment allowance" or "negotiated rate." If your provider charges more than the allowed amount, you may have to pay the difference. (See Balance Billing.)
Maximum amount on which payment is based for covered health care services. This may be called “eligible expense,” “payment allowance” or “negotiated rate.” If your provider charges more than the allowed amount, you may have to pay the difference. (See Balance Billing.)
- Browse Related Terms: Allowed Amount, Balance Billing, interest, Out-of-Pocket, UCR (Usual, Customary, and Reasonable), Usual and Customary Charges (UCC), Usual, Customary and Reasonable (UCR), Usual, Customary and Reasonable (UCR) Charges, Usual, Customary and Reasonable charge (UCR), Usual, Customary, Reasonable (UCR), Utilization Review
All > Healthcare > Medicine > Healthcare Associated Infections
Facilities that perform specific procedures in an outpatient (non-hospital) setting
- Browse Related Terms: Acute Care Facility, Ambulatory Surgical Center (ASC), Ambulatory Surgical Center, Ambulatory Surgical Facility, Confidence Intervals, HAI Prevention Collaborative, Iatrogenic Pneumothorax, Incidence Rate, Infection Rate, International Classification of Diseases - 9th revision - Clinical Modification (ICD-9-CM), monitor, National Healthcare Safety Network (NHSN), Nosocomial, Prevalence Rate, SSI Rate, Standardized infection ratio (SIR), Standardized Infection Ratio (SIR) Statistical Method
All > Healthcare > Medicine > Healthcare Associated Infections
Healthcare facilities that offer surgical services only to patients who go home the same day of the procedure.
Healthcare facilities that offer surgical services only to patients who go home the same day after their operation.
- Browse Related Terms: Acute Care Facility, Ambulatory Surgical Center (ASC), Ambulatory Surgical Center, Ambulatory Surgical Facility, Confidence Intervals, HAI Prevention Collaborative, Iatrogenic Pneumothorax, Incidence Rate, Infection Rate, International Classification of Diseases - 9th revision - Clinical Modification (ICD-9-CM), monitor, National Healthcare Safety Network (NHSN), Nosocomial, Prevalence Rate, SSI Rate, Standardized infection ratio (SIR), Standardized Infection Ratio (SIR) Statistical Method
All > Healthcare > Medicine > Malaria
A reduction in the number of circulating red blood cells or in the quantity of hemoglobin.
- Browse Related Terms: Anemia, Cerebral malaria, Defervescence, Erythrocyte, G6PD deficiency, Hematocrit, Hematologic, Hemoglobin, Hemolysis, Induced malaria, Jaundice, Parasitemia, Recrudescence
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A loss of feeling or awareness caused by drugs or other substances. Anesthesia keeps patients from feeling pain during surgery or other procedures. Local anesthesia is a loss of feeling in one small area of the body. Regional anesthesia is a loss of feeling in a part of the body, such as an arm or leg. General anesthesia is a loss of feeling and a complete loss of awareness that feels like a very deep sleep.
- Browse Related Terms: Acid Reflux, Allergy, Anesthesia, Bipolar Disorder, Complication, Hepatitis B, hysterectomy, Long-term Care, Medication/Medicine, Morbidity, prognosis, Surgery
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All > Healthcare > Health Insurance
Usually in Health Savings Account (HSA) eligible plans, the total amount that family members on a plan must pay out-of-pocket for health care or prescription drugs before the health plan begins to pay.
- Browse Related Terms: Annual Deductible Combined, Brand Name (Drugs), Donut Hole, Medicare Prescription Drug, Drug Formulary, Drug List, Essential Benefits, Excluded Drugs, Flexible Spending Account (FSA), Formulary, Generic Drug, Generic Drugs, Medicare, Medicare Part D, Medicare Prescription Drug Donut Hole, Name-brand Drug, Out-of-Pocket Estimate, Over-the-Counter Drug, Prescription Drug, Prescription Drug Coverage, Prescription Drugs
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For most taxpayers, the household Modified Adjusted Gross Income (MAGI) is the same as Adjusted Gross Income (AGI) which can be found on Line 4 on a Form 1040EZ, Line 21 on a Form 1040A, or Line 37 on a Form 1040.
Taxpayers who receive non-taxable Social Security benefits, earn income living abroad, or earn non-exempt interest should add back that income to AGI to calculate MAGI.
Medicaid eligibility will be determined excluding the following types of income: scholarships, awards, or fellowship grants used for education purposes and not for living expenses, and certain American Indian and Alaska Native income derived from distributions, payments, ownership interests, real property usage rights, and student financial assistance.
The total income for a family in a calendar year.
- Browse Related Terms: Annual Household Income, Modified adjusted gross income (MAGI), Pension (Retirement Benefit), Retirement Benefit (Pension), Social Security, Social Security Benefits, Social Security Survivors Benefits, Supplemental Security Income (SSI), Tax Household