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Glossary


Terms in glossary: 52.

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Absolute Ratings
A rating method where the rater assigns a specific value on a fixed scale to the behavior or performance of an individual instead of assigning ratings based on comparisons between other individuals.
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Ambulatory Care
Health care services that do not require a hospital stay, such as those delivered in a doctor's office, clinic, or day surgery center.
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Archer MSA
accounts that are available on a limited basis to self-employed individuals and employees of certain small employers. The MSA is used less frequently after the creation of a the more favorable HSA plan.
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Assigment of Benefits
When you assign benefits, you sign a document (could be a claim form) allowing your doctor or a hospital to collect your health insurance benefits payment directly from your health carrier. Otherwise, you pay for the treatment and the insurance company reimburses you directly.
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Attrition
A term used to describe voluntary and involuntary terminations, deaths, and employee retirements that result in a reduction to the employer's physical workforce
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Baby Boomer
Baby Boomers is the name given to the generation of Americans who were born in a "baby boom" following World War II. Baby Boomers were born between 1944 and 1964.
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Balanced Scorecard
A popular strategic management concept developed in the early 1990's by Drs. Robert Kaplan and David Norton, the balanced scorecard is a management and measurement system which enables organizations to clarify their vision and strategy and translate them into action. The goal of the balanced scorecard is to tie business performance to organizational strategy by measuring results in four areas: financial performance, customer knowledge, internal business processes, and learning and growth.
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Benchmarking
A technique using quantitative or qualitative data to make comparisons between different organizations or different sections of the organizations.
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Benefit Payment
The amount of money payable by an insurance company or a health plan to a claimant, assignee, or beneficiary insured under an insurance policy or health plan.
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Benefits
Employers provide a package of additions to the base salary to employees. These benefits can include health insurance, dental insurance, life insurance, disability insurance, a severance package, tuition assistance, and more. On average, organizations spend 41 cents for benefits for every dollar of payroll. That’s 29 percent of the total employee compensation package.
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Bumping
The practice of allowing more senior level employees whose positions have been slotted for elimination or downsizing the option of accepting an alternative position within the organization, for which they may be qualified to perform and which is currently occupied by another employee with less seniority.
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Capitation
Capitation represents a set dollar limit that a health maintenance organization (HMO) pays to your primarcy care physician (PCP) for providing medical treatment to you and/or your dependents. This fee is usually paid to the physician on a monthly basis contingent upon the number of patients the PCP has covered under the HMO plan. The physician receives no more or no less than this fixed set fee, regardless of how much or how little you use his/her services.
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Case Management
A technique that insurance companies and HMOs use to ensure that individuals receive appropriate, timely and reasonable care.
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CDHP
Health insurance programs and plans that are intended to make consumers more informed about their health. Under these plans, consumers use healthcare services more effectively, have more control over their healthcare dollars and the plans are designed to be more affordable. These medical plans also offer reduced premium costs in exchange for higher deductibles. Plus, they offer incentives and tools to manage both healthcare decisions and costs including: Web tools used to make decisions about healthcare plan choices, education information about healthcare, preventive coverage at little or no cost, the use of care coaches and disease management programs. Health Reimbursement Arrangements (HRAs) and Health Savings Accounts (HSAs) are common examples of CDHC.
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Change Management
The deliberate effort of an organization to anticipate change and to manage its introduction, implementation, and consequences.
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