Capitation Payments Definition.

A capitation payment is a fixed amount of money paid by an insurer to a healthcare provider for each person covered by a health insurance policy. The payment is made regardless of whether or not the person actually uses any healthcare services during the period covered by the policy. The purpose of a capitation payment … Read more

Coinsurance: Definition, How It Works, and Example.

. What is Coinsurance? Coinsurance is an insurance policy provision that requires the policyholder to cover a portion of their own losses. For example, if a policy has a coinsurance clause of 80%, and a covered loss occurs, the policyholder would be responsible for paying 20% of the loss, while the insurance company would pay … Read more

Health Maintenance Organization (HMO): Advantages and Disadvantages.

Health Maintenance Organizations: What They Are, Pros and Cons What are examples of HMO? An HMO, or Health Maintenance Organization, is a type of health insurance that requires policyholders to receive their care from a designated network of doctors and other healthcare providers. HMO plans typically have lower premiums than other types of health insurance, … Read more

What is Triage?

Triage is a term that is used in the medical field to refer to the process of assessing and prioritizing patients based on the severity of their medical condition. This process is used in order to ensure that the most critically ill patients are seen and treated first. What is an example of triage? In … Read more

What Is a Health Savings Account (HSA).

A Health Savings Account (HSA) is a type of savings account that can be used to pay for medical expenses. HSAs are available to people who are enrolled in a high-deductible health plan (HDHP). Contributions to an HSA are tax-deductible, and money in the account can be used to pay for qualifying medical expenses tax-free. … Read more

U.

S. Department of Health and Human Services (HHS). The U.S. Department of Health and Human Services (HHS) is responsible for protecting the health of all Americans and providing essential human services. HHS works closely with state and local governments, Tribes, and other partners to improve the health and well-being of all people in the United … Read more

Understanding Preferred Provider Organizations (PPOs).

Preferred Provider Organizations (PPOs) are a type of managed care plan that offers participants the freedom to receive care from any provider they choose. However, participants will save money on their out-of-pocket costs if they use a provider that is in the PPO network. PPOs typically have a larger network of providers than other types … Read more

Understanding Medical Expenses and Tax Implications.

When you are trying to understand your medical expenses and tax implications, there are a few things that you need to keep in mind. First, you need to make sure that you are aware of all of the deductions that you can take for your medical expenses. Next, you need to make sure that you … Read more

What Is an Archer MSA?

An Archer MSA is a type of medical savings account that is available to self-employed individuals and employees of certain small businesses. Archer MSAs are named after former Congressman Bill Archer, who was a key sponsor of the legislation that created them. Archer MSAs are similar to other types of MSAs, such as Health Savings … Read more