1. Member’s voluntary cancellation of membership in a managed care plan. 2. Involuntary disenrollment may occur because of a member’s change in employment.

Abnormal color, shape, or structure of a body part that if visible may cause social rejection and/or poor self-image, causing a change in lifestyle and behavior.

Process of removing funds from a financial intermediary so that it will earn a higher yield with another financial intermediary.
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UK: Process of parties dealing direct without involving intermediaries, e.g. insurer sells personal lines over the Internet. Innovatory ART products are often handled directly by the contracting parties.

Excision of the intervertebral disk material.

Cost for filling a prescription for a drug, eyeglasses, or hearing aids.

Physician’s description of the patient’s status and destination at discharge (e.g., discharged to home or self-care [routine discharge], left against medical advice, discharged to another short-term or long-term hospital, expired). These data may be used for quality assurance purposes. Also known as disposition of patient .

Program that gives added payment to hospital facilities that serve an unequally large share of low-income patients. This assists in compensating for lost revenues in serving needy populations. Such facilities receive Medicaid funds if they provide care for a high volume of low-income patients.

Hospital facility with an unequally large share of low-income patients. Under Medicaid, states augment payment to these hospitals. Under a Prospective Payment System, Medicare inpatient hospital payments are also adjusted for this added burden.