Administrative Law
the body of law produced by executive (i.e. administrative) agencies
of federal state and local governments
Capitation
a method of payment for health services in which a fixed amount is
paid for each person served without regard to the actual number or
nature of service provided
Centers for Disease Control and Prevention
the federal agency within the department of health and human services
charged with disease prevention and education
Copayments
refers to a form of beneficiary cost sharing for covered health
insurance benefits and services expressed as a flat dollar payment
example 5 dollars for a prescription drug
Deductible
the amount patients must pay out of their own pocket before their
health insurance policy begins contributing the cost of their care
Department of Health and Human Services
a federal agency that administers federal health and welfare programs
and activities
Department of Labor (DOL)
a federal agency responsible for administration and enforcement of
ERISA a federal law that sets requirements for employer-provided
health benefits that are not offered through state-licensed health
insurance plans
Diagnostic Related Group (DRG)
a system used to classify patients particularly under Medicare for
the purpose of reimbursing hospitals. Hospitals are paid a fixed fee
for each case in giving category regardless of the actual costs of
providing care
Entitlement Programs
refers to a guarantee of access to benefits or service based on
established rights or by legislation
Epidemiology
the study of patterns of health and illness and associated factors at
the population level
Executive Order
a presidential directive with the authority of a law that directs and
governs actions by executive official and agencies
Federalism
refers to a system of government in which sovereignty is
constitutionally divided between a central governing authority and
constituent political units and in which the power to govern is shared
between the national and states governments
Federally Qualified Health Center (FQHC)
a community health center that either recives funding under section
440 of the public health service act or a center that has been
certified as meeting the same criteria
Stare Decisis
a Latin term that refers to the legal principle that prior case law
decisions should be accorded great deference and should not be
frequently overturned