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The Federal Employees Health Benefits ( FEHB) Program is a system of "managed competition" through which employee health benefits are provided to civilian government employees and annuitants of the United States government. The government contributes 72% of the weighted average premium of all plans, not to exceed 75% of the premium for any one ...
Self-funded health care. Self-funded health care, also known as Administrative Services Only ( ASO ), is a self insurance arrangement in the United States whereby an employer provides health or disability benefits to employees using the company's own funds. [1] This is different from fully insured plans where the employer contracts an insurance ...
PEHP Health & Benefits. PEHP Health & Benefits, known as Public Employees Health Program or simply PEHP, is a division of Utah Retirement Systems and administers Utah's public employees medical, dental, life, and long-term disability benefits. PEHP is governed through Title 49 of the Utah Code. PEHP covers 170,000 members through self-funded ...
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The term managed care or managed healthcare is used in the United States to describe a group of activities intended to reduce the cost of providing health care and providing American health insurance while improving the quality of that care ("managed care techniques"). It has become the predominant system of delivering and receiving American ...
The Health Insurance Portability and Accountability Act of 1996 ( HIPAA or the Kennedy – Kassebaum Act [1] [2]) is a United States Act of Congress enacted by the 104th United States Congress and signed into law by President Bill Clinton on August 21, 1996. [3] It aimed to alter the transfer of healthcare information, stipulated the guidelines ...
Municipal health coverage. v. t. e. In the United States, a medical savings account ( MSA) refers to a medical savings account program, generally associated with self-employed individuals, in which tax-deferred deposits can be made for medical expenses. Withdrawals from the MSA are tax-free if used to pay for qualified medical expenses.
Self-policing of providers by providers is a major part of oversight. Many healthcare organizations also voluntarily submit to inspection and certification by the Joint Commission on Accreditation of Hospital Organizations (JCAHO). Providers also undergo testing to obtain board certification attesting to their skills.