1 2 3 4 5 7 8 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
H. H9 Ha Hb Hc Hd He Hf Hg Hh Hi Hj Hk Hl Hm Hn Ho Hp Hq Hr Hs Ht Hu Hv Hw Hx Hy Hz
Hea Hed Hei Hel Hem Hep Her Hes

health insuring organization (HIO)

Entity that provides for or arranges for the provision of care and contracts on a prepaid capitated risk basis to provide a comprehensive set of services. This may involve state or federal programs such as Medicaid or Medicare beneficiaries. HIOs contract with providers on a discounted fee-for-service or a capitated basis to provide medical services.

Health IT Certification

Provides professional training and certification for those responsible for planning, selecting, implementing, and managing electronic health records (EHRs) and other health information technology (HIT). See Certified Professional in Electronic Health Records (CPEHR) and Certified Professional in Health Information Technology (CPHIT) . Website: www.HealthITCertification.com

Health Level Seven (HL7)

Standard protocols and encoding rules published for developers to apply in the health industry. These were created by the Accredited Standards Committee X12 (ASC X12), a committee formed by American National Standards Institute (ANSI). HL7 sets some of the electronic standards for exchange of clinical and administrative information in health care applications (see Box H-1 ).Box H-1HEALTH LEVEL SEVEN FORMAT OF DATE AND TIME OF BIRTHTo determine the date and time of a patient’s birth date (e.g., for a neonate, for whom the age in hours might be relevant), the time of the birth, using military time, can be recorded with the birth date. From this, the age can be generated from the date of birth (DOB). Baby Jane was born on March 24, 2007, at 8:26 am .When the required HL7 format is YYYY MMDDHHMM, Baby Jane’s date and time of birth will be entered for transmission as: 200703240826YYYYMMDDHHMM200703240826YearMonthDayHourMinute

Health Level Seven, Inc. (HL7)

Founded in 1987, a nonprofit, American National Standards Institute (ANSI)-accredited standards developing organization dedicated to providing a comprehensive framework and related standards for the exchange, integration, sharing, and retrieval of electronic health information that supports clinical practice and the management, delivery, and evaluation of health services.

Health Maintenance Act of 1990

Act developed by the National Association of Insurance Commissioners (NAIC) and used by most states as a model for legislation of health maintenance organizations (HMOs). This act mandates that HMOs have a certificate of authority to carry out their business in the state and they must provide the state with detailed financial and qualifying data.

Health Maintenance Organization (HMO)

An alternative system to the one traditionally used to provide health care, an HMO is a group of doctors and other health care providers that offers a full range of health care services on a prepaid basis.
***
US: An organization that provides a wide range of comprehensive health care services for a specified group at a fixed periodic payment. The HMO can be sponsored by the government, medical schools, hospitals, employers, labor unions, consumer groups, insurance companies, and hospital medical plans.
***
MEDICAL,USA: Oldest of all prepaid health plans. A comprehensive health care financing and delivery organization that provides a wide range of health care services with an emphasis on preventive medicine to enrollees within a geographical area through a panel of contracted providers and hospital facilities. Members are required to use those participating in the plan. Primary care physicians called “gatekeepers” are usually reimbursed via capitation. One method is when enrollees pay a monthly premium and a small copayment for using medical services. Another method is when capitated rates are paid by payers for each member based on a projection of patients’ costs. Payers may include employers, insurance companies, or government programs. There are four types of HMOs: group, staff, independent practice association, and network. HMOs can either be for profit or nonprofit. There are also specialized HMOs that provide vision, dental, or mental health care.
***
Prepaid group health insurance plan that entitled members to services of participating physicians, hospitals and clinics. Emphasis is on preventative medicine, and members must use contracted health-care providers. Health plus Life Combi Products” : As per Sec. 2. J Health Plus Life Combi Products mean products which offer the combination of a Life Insurance cover offered by a life insurer and a Health Insurance cover offered by General Insurer or Health Insurer. Under the ‘Combi Product’, underwriting of respective portion of risk shall be carried out by respective insurance companies, that is; Life Insurance risk shall be underwritten by Life Insurer and the Health Insurance portion of risk shall be underwritten by General or Health Insurer. Commission and Claim pay-outs in respect of ‘Combi Products’ shall be by respective insurers only.