An agreement between a hospital and a particular health plan, wherein the hospital provides care to the plan’s members.
Insurance Encyclopedia
Hospital alliances
Groups of hospitals that join together to share services and make purchases to reduce their costs. See also integrated delivery system .
Hospital alliances (Health Insurance)
Several hospitals that have allied to share services, with the aim of reducing costs. This type of alliance helps the hospitals to stay competitive.
Hospital and Medical Expenses Insurance
See: “Health Insurance”
Hospital assumptions
These include differentials between hospital labor and nonlabor indices compared with general economy labor and nonlabor indices; rates of admission incidence; the trend toward treating less complicated cases in outpatient settings; and continued improvement in diagnosis-related group (DRG) coding.
Hospital audit companies
Businesses that do retrospective audits for hospital facilities to try to obtain some percentage of savings from billed insurance claims.
Hospital benefits
Benefits provided under a policy for hospital charges incurred by an insured person because of an illness or injury.
Hospital benefits (Health Insurance)
Benefits that pay for hospital visits, including the room and other costs incurred during the stay.
Hospital billing audit
Independent evaluation of hospital bills by an external auditor (third party) to investigate if medical services and supplies billed to the patient were those actually given and if the fees were for the correct amounts.
Hospital care / hospital services
Inpatient and outpatient care, procedures, supplies, and medical services provided and billed by a hospital facility.