wrap-around adj.— «HMOs work with Medicare in two ways: Either they have direct contracts with Medicare or provide what is called Medicare “wrap-around” coverage for individuals who were members of the HMO when they became...
upcoding n.— «For years, HCA and its predecessors, including a smaller hospital firm also founded by the Frists, had rigged Medicare billing systems to charge the federal government far more than was justified for treating ordinary...
boo-boo face n.— «Drawing on the heaviest weapon from her considerable thespian arsenal, she makes a boo-boo face. As the tears stream down her cheeks, it is apparent to all but southern TV critics that Annalise has firmed in the betting...
clawback n.— «While the dual eligibles in 2006 will qualify for federal Medicare drug benefits, states won’t get to keep all of the savings from dropping the indigent seniors from state-financed Medicaid drug plans. Instead, states will...
silo budget other.— «Under a managed care concept the incentives for comprehensive and continuous care over ride silo budget approaches common in Medicare and medicaid systems.» —“Re: Unversal Health Care For Iraq but Not For the USA...
silo budget other.— «Come budget time, however, HMO managers and executives may not feel that way as they tend to “silo budget,” set a drug budget in isolation of a medical budget, for example.» —“Medicare, Medicaid Rx...