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Healthcare Financing Vocabulary

Horizontales
Portion of covered services the patient must pay beyond their deductible; patient pays a percentage and the insurance company pays the remaining percentage for covered medical expenses after deductible is met.
The amount you pay for your health insurance every month.
An online marketplace where consumers can compare and buy individual health insurance plans.
A method in which doctors and other health care providers are paid for each service performed.
A provider who has a contract with your health insurer or plan to provide services to you at a discount.
A method of insurance reimbursement to physicians based on the number of patients seen rather than the services performed.
Verticales
Small policy changes that reflect a compromise amongst different groups' demands.
A patient classification system that standardizes prospective payment to hospitals and encourages cost containment initiatives.
The amount you must pay each year before your plan starts to pay for covered medical expenses.
A method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount.
A list of prescription drugs covered by a prescription drug plan or another insurance plan offering prescription drug benefits; Also called a drug list.
Small fee paid at time of service .