All > Healthcare > Medicine > Malaria
The female form of the gametocyte.
- Browse Related Terms: Enzyme-linked immunosorbent assay (ELISA), Gametocyte, Macrogametocyte, Microgametocyte, Monocyte, Oocyst, Sporozoite rate
All > Healthcare > Health Insurance
Major Medical health insurance policies typically provide comprehensive coverage for hospital, doctor, x-ray and laboratory expenses.
- Browse Related Terms: Actuarial Value, Benefit Level, Coordination of Benefits, Dental Coverage, Excluded Services, Hospital Outpatient Care, Major Medical Health Insurance, Net Capital Gains, Subsidy, Total Cost Estimate (for health coverage)
All > Healthcare > Health Insurance
A high-limit, high deductible plan to cover catastrophic illness or injury. Major medical used to be called "catastrophic insurance."
- Browse Related Terms: Chronic Condition, Durable Medical Equipment (DME), Emergency Medical Condition, Hospice Services, Major Medical Plan, Public Health, Reconstructive Surgery, Special Health Care Need, Urgent Care
All > Healthcare > Medicine > Malaria
- See Plasmodium.
- Browse Related Terms: Clinical cure, Falciparum, Knowlesi, Malariae, Ovale, Plasmodium, Radical cure, Radical treatment, Relapse, Vivax
All > Healthcare > Medicine > Malaria
Brand name of atovaquone-proguanil, a drug used against malaria for both prevention and treatment.
- Browse Related Terms: Artemisinins, Atovaquone, Chemoprophylaxis, Cinchonism, Clindamycin, Doxycycline, Hypoglycemia, Lariam, Malarone, Mefloquine, Presumptive treatment, Primaquine, Proguanil, Quinine, tetracycline, Tinnitus
All > Healthcare > Medicine > Cancer > Cancer Statistics
- See Invasive cancer.
- Browse Related Terms: Collaborative Staging Algorithm, Extent of Disease, ICCC Classification, In situ cancer, Invasive Cancer, Malignant Cancer, primary tumor, Stage, Stage at Diagnosis
All > Healthcare > Health Insurance
An organized way to manage costs, use, and quality of the health care system. The major types of managed care plans are health maintenance organizations (HMOs), point-of-service (POS) plans and preferred provider organizations (PPO).
Managed care generally emphasizes cost control and may provide coverage for preventive medicine. There are restrictions on the types of procedures that can be used for each medical condition. The amounts that can be charged for the procedures are described by the terms and conditions of the plan.
- Browse Related Terms: Exclusive Provider Organization (EPO) Plan, Health Maintenance Organization, Health Maintenance Organization (HMO), In-Network provider, Managed Care, Medicare Advantage, Medicare Advantage (Medicare Part C), Medicare Cost Plans, Medicare Select Plans, Out-of-network provider, Point of Service (POS) Plans, Point-of-Service Plan (POS), Preferred Provider Organization (PPO), Primary Care Physician (PCP), Referral, Third-Party Payer
All > Healthcare > Health Insurance
A requirement in state or federal law that all health insurance policies provide coverage for a specific health care service.
- Browse Related Terms: Business Day, Calendar Day, Contestability, Grace Period, Mandated benefit, Mandated Health Benefit, Plan Year, Policy Year, Waiting Period
All > Healthcare > Health Insurance
Mandated health benefits are benefits that are required to be covered by law. There are both federal and state mandated benefits. In Colorado (as in many states), the mandated health benefits may not apply to all types of health insurance policies or plans offered in the state. Some mandated health benefits are required of group health plans, but not of individual policies. If you have previously been covered by a group health plan, and are now shopping for individual health insurance, check carefully to see what the new policy covers. Many people assume that individual policies will have the same health mandates, and they may not. Covering some of these health mandates is optional for individual health policies.
There are some mandated benefits that are required by federal law, and there are some that are required by state law. Colorado statutes may mandate some benefits for certain types of insurance (benefits that must be covered by group plans, for example), that are not mandated for all types of insurance (such as individual coverage.)
- Browse Related Terms: Business Day, Calendar Day, Contestability, Grace Period, Mandated benefit, Mandated Health Benefit, Plan Year, Policy Year, Waiting Period
All > Healthcare > Medicine > Drug
Marketing status indicates how a drug product is sold in the United States. Drug products in [email protected] are identified as:
- Prescription
- Over-the-counter
- Discontinued
- None - drug products that have been tentatively approved
- Browse Related Terms: Approval History, Discontinued Drug Product, FDA Action Date, label, Marketing Status, Reference Listed Drug (RLD), Route, Supplement, Supplement Number, Supplement Type, Tentative Approval
All > Healthcare > Health Insurance
Maryland Health Connection is a marketplace for consumers and small business owners to compare, shop and enroll in health coverage.
- Browse Related Terms: agent, Authorized Representative, Broker, Brokers, Connector Organizations, Exchange, Marketplace, Small Business Health Options Program (SHOP), Uninsured
All > Healthcare > Health Insurance
Low-income children may qualify for free or low-cost health coverage through MCHP, available through Maryland Health Connection.
- Browse Related Terms: Benefits, Centers for Medicare & Medicaid Services (CMS), Children's Health Insurance Program (CHIP), Department of Health and Human Services (HHS), Dependent Coverage, Disability, Domestic Partnership, Early and Periodic Screening, Diagnostic, and Treatment Services (EPSDT), Federal Poverty Level (FPL), fee, Health Coverage, Health Insurance Marketplace, Maryland Children’s Health Program (MCHP), Medicaid, Medicaid/Medical Assistance, Metal Level, State Health Insurance Assistance Program (SHIP), State Medical Assistance Office, Subsidized Coverage, TRICARE
All > Healthcare > Health Insurance
MHIP is the public insurance plan available to individuals who have not been able to qualify for insurance based on a pre-existing condition. MHIP will be phased out starting in 2014 when members may be covered through private insurance and also apply through Maryland Health Connection.
- Browse Related Terms: Creditable Coverage, Creditable Coverage or Prior Qualifying Coverage, Disclosure, Discount Health Plan, Elimination period, Exclusion, High Risk Pool Plan (State), High-risk pool, Maryland Health Insurance Program (MHIP), Minnesota Comprehensive Health Association (MCHA), Portability, Pre-existing Condition, Pre-Existing Condition (Job-based Coverage), Pre-existing condition exclusion, Pre-Existing Condition Exclusion Period (Individual Policy), Pre-Existing Condition Exclusion Period (Job-based Coverage), Pre-existing Condition Insurance Plan (PCIP), Rider (exclusionary rider)
All > Healthcare > Medicine > Healthcare Associated Infections
Being at the top limit.
- Browse Related Terms: Dialysis facility, Epidemiology, Influenza, Influenza Vaccination, isolation, Maximal, Morbidity, Patient safety, Pneumonia, Transmission, Ventilator, Ventilator-Associated Pneumonia (VAP)
All > Healthcare > Medicine > Cancer > Cancer Statistics
The age at which half of all reported cases were older and half were younger.
- Browse Related Terms: Annual Report to the Nation, Cancer Burden, Cancer Statistics Review (CSR), Delayed Reporting, Georeferenced Statistics, Incidence, Delay-Adjusted, Median Age at Diagnosis/Death, Reporting Delay, SEER Registries, Surveillance, Epidemiology, and End Results (SEER) Program
All > Healthcare > Health Insurance
A state-administered health insurance program for low-income families and children, pregnant women, the elderly, people with disabilities, and in some states, other adults. The Federal government provides a portion of the funding for Medicaid and sets guidelines for the program. States also have choices in how they design their program, so Medicaid varies state by state and may have a different name in your state.
A state-administered health insurance program for low-income families and children, pregnant women, the elderly, people with disabilities, and in some states such as Maryland other adults. The federal government provides a portion of the funding for Medicaid and sets guidelines for the program. States also have choices in how they design their program.
- Browse Related Terms: Benefits, Centers for Medicare & Medicaid Services (CMS), Children's Health Insurance Program (CHIP), Department of Health and Human Services (HHS), Dependent Coverage, Disability, Domestic Partnership, Early and Periodic Screening, Diagnostic, and Treatment Services (EPSDT), Federal Poverty Level (FPL), fee, Health Coverage, Health Insurance Marketplace, Maryland Children’s Health Program (MCHP), Medicaid, Medicaid/Medical Assistance, Metal Level, State Health Insurance Assistance Program (SHIP), State Medical Assistance Office, Subsidized Coverage, TRICARE
Also listed in:
- All > Business > Finance > Personal Finance
All > Healthcare > Medicine > HIV/AIDS
A process whereby an individual who meets the Medicaid medical eligibility criteria, but has income that exceeds the financial eligibility ceiling, may "spend down" to eligibility level. The individual accomplishes spend-down by deducting accrued medically related expenses from countable income. Most State Medicaid programs offer an optional category of eligibility, the "medically needy" eligibility category, for these individuals.
- Browse Related Terms: Agency for Healthcare Research and Quality (AHRQ), Capacity, Core Services, Early Intervention Services (EIS), Family Centered Care, Health Care for the Homeless Health Center, Health Centers, Home and Community Based Care, Medicaid Spend-down, Part B, Part C, Part D, Part F (SPNS) (Special Projects of National Significance), Ryan White Comprehensive AIDS Resources Emergency (CARE) Act, Ryan White HIV/AIDS Act of 2009 (Ryan White HIV/AIDS Program), Service Gaps, Support Services, Unmet Need
All > Healthcare > Health Insurance
A joint federal-state health insurance program that is run by the states and covers certain low-income people (especially children and pregnant women), and disabled people.
- Browse Related Terms: Benefits, Centers for Medicare & Medicaid Services (CMS), Children's Health Insurance Program (CHIP), Department of Health and Human Services (HHS), Dependent Coverage, Disability, Domestic Partnership, Early and Periodic Screening, Diagnostic, and Treatment Services (EPSDT), Federal Poverty Level (FPL), fee, Health Coverage, Health Insurance Marketplace, Maryland Children’s Health Program (MCHP), Medicaid, Medicaid/Medical Assistance, Metal Level, State Health Insurance Assistance Program (SHIP), State Medical Assistance Office, Subsidized Coverage, TRICARE
An unintended but preventable adverse effect of care, whether or not it is evident or harmful to the patient.
- Browse Related Terms: Generic Drugs, Medical Error, Pharmacist, Pharmacy, prescription, Risk, side effect, Treatment
All > Healthcare > Health Insurance
The percentage of health insurance premiums that are spent by the insurance company on health care services. The ACA requires that large group plans spend 85 percent of premiums on clinical services and other activities for the quality of care for enrollees. Small group and individual market plans must devote 80 percent of premiums to these purposes. Minnesota passed regulations in 1993 that initially required insurers in the small group market to meet a 75 percent medical loss ratio and individual market insurers to meet a 65 percent loss ratio. Both medical loss ratios increased by 1 percentage point each year until 2000, when the loss ratios were 82 percent in the small group market and 72 percent in the individual market. The loss ratios have remained at these levels since 2000. (See Minn. Stat. 62A.021)
A basic financial measurement used in the Affordable Care Act to encourage health plans to provide value to enrollees. If an insurer uses 80 cents out of every premium dollar to pay its customers' medical claims and activities that improve the quality of care, the company has a medical loss ratio of 80%. A medical loss ratio of 80% indicates that the insurer is using the remaining 20 cents of each premium dollar to pay overhead expenses, such as marketing, profits, salaries, administrative costs, and agent commissions. The Affordable Care Act sets minimum medical loss ratios for different markets, as do some state laws.
- 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