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.

In workers’ compensation cases, a medical issue in disagreement or with a difference of opinion, such as an objection to a medical determination made by a treating physician concerning the employee’s medical condition, cause of the condition, or treatment for the condition. Other issues might be the existence, nature, duration, or extent of temporary or permanent disability caused by the employee’s medical condition or the employee’s medical eligibility for rehabilitation services.

To close a pension plan that does not have sufficient funds to cover the benefits to which the plan’s participants are entitled.

Separation of all prospective or presently insureds in group insurance plans by age, sex, location, income, status of dependency, and benefits for the purpose of computing premium rates.

Various ways health plans and medical services are delivered such as insurance agents and brokers, pharmacies, pharmaceutical companies for drugs, and physicians.

Overhead costs in making insurance products available to the general public such as insurance agent compensation, group sales representatives’ salaries, postage, printing, and telecommunications for direct response marketing.

An insurance company’s network of organizations and individuals who perform all the marketing activities to convey an insurance product from an insurer to the consumers.