| OCR Text |
Show prenatal, delivery and post-natal-care. guaranteed issue Requirement that health plans offer coverage to all businesses during some period each year. H health education Any combination of learning opportunities designed to facilitate voluntary adaptations of behavior (in individuals, groups, or communities) conducive to health. health insurance purchasing cooperatives (HIPCs) Public or private organizations which secure health insurance coverage for the workers of all member employers. health maintenance organization (HMO) An entity with four essential attributes: (1) an organized system providing health care in a geographic area, which accepts the responsibility provide or otherwise assure the delivery of; (2) an agreed-upon set of basic and supplemental health maintenance and treatment services to (3) a voluntarily enrolled group of persons; and (4) for which services the entity is reimbursed through a predetermined fixed, periodic prepayment made for or on behalf of, each person or family unit enrolled The payment is fixed without regard to the amounts of actual services provided to an individual enrollee Individual practice associations involving groups or independent physicians can be included under the definition. Health Plan Employer Data and Information Set (HEDIS) A core set of performance measures designed by the National Committee for Quality Assurance to enable plans and employers to accurately trend health plan performance in a comparative manner. health promotion Any combination of health education and related organizational, political, and economic interventions designed to facilitate behavioral and environmental adaptations that will improve or protect health. health service area Geographic area designated on the basis of such factors as geography, political boundaries, population, and health resources, for the effective planning and development of health services. health status The state of health of a specified individual, group, or population. It may be measured by obtaining proxies such as people's subjective assessments of their health; by one or more indicators of mortality and morbidity in the population, such as longevity or maternal and infant mortality; or by using the incidence or prevalence of major diseases (communicable, chronic, or nutritional). holism Refers to the integration of mind, body, and spirit of a person and emphasizes the importance of perceiving the individual (regarding physical symptoms) in a "whole" sense. Holism teaches that the health care system must extend its focus beyond solely the physical aspects of disease and particular organ in question, to concern itself with the whole person and the interrelationships between the emotional, social, spiritual, as well as physical implications of disease and health. horizontal integration Merging of two or more firms at the same level of production in some formal, legal relationship. hospice A program which provides palliative and supportive care for terminally ill patients and their families, either directly or on a 136 |
