Federal legislation that expanded the Medicare and Medicaid programs.
Omnibus Budget Reconciliation Act of 1981 (OBRA)
Payment system that reimburses physicians' practice expenses based on relative values for three components of each physician's services; physician work, practice expense, and malpractice insurance expense.
Resource-Based Relative Value Scale system (RBRVS)
Three or more health care providers who share equipment, supplies, and personnel, and divide income by a prearranged formula.
group medical practices
Reimburses health care services to Americans over the age of 65 and patients with End-stage renal disease (ESRD).
Medicare
Performs utilization and quality control review of health care furnished, or to be furnished, to Medicare beneficiaries.
quality improvement organization (QIO)
Issues predetermined payment for services
prospective payment system (PPS)
Cost-sharing program between the federal and state governments to provide health care services to low-income Americans.
Medicaid
Reimbursement for income lost as a result of a temporary or permanent illness or injury.
disability insurance
Mandates regulations that govern privacy, security, and electronic transactions standards for health care information.
Health Insurance Portability and Accountability Act of 1996 (HIPAA)
