Affiliated Contractor.

American College of Allergy, Asthma and Immunology.

Pharmaceutical care in managed health care environments is a national professional society dedicated to the concept and practise of pharmaceutical care. The mission of the AMCP is to promote the development and application of pharmaceutical care in order to ensure that all individuals receive appropriate health care outcomes. Its sole purpose is to represent managed care pharmacy’s views and interests.

Temporary partial advance of funds to medical providers due to insurance claim payment delays.

The overall assessment of medical care available to an individual or group. In determining the acceptability of health services provided, the individual considers factors such as cost, quality, results, and convenience of medical care, as well as provider attitudes.

See Also: Accessibility and Availability.

1. A Medicare Part B agreement in which a Medicare participating physician agrees to accept 80% of the approved charge from the fiscal intermediary and 20% from the patient after the patient’s deductible has been met.

2. Transfer of the legal interest in an insurance policy to another person, typically when property is sold; or in life insurance, only valid with the insurance company’s consent.

3. Transfer of an individual’s right to receive payment under an insurance contract.

Refers to an individual’s ability to obtain needed medical care, such as facility location, transportation, operating hours, cost of care, availability of medical services, and patient acceptability of services.

Amount paid by a health insurer to a network Per Member Per Month (PMPM) to use the network’s providers.

The ability to obtain medical care and services when a patient requires them.

Separate living quarters within a single-family home. The ADU is a complete living unit with its own kitchen and bathroom.