administrative services only agreement

A contract typically between an insurance company and a self-funded plan or group of providers in which the insurance or management company performs only administrative services (billing, plan design, claim processing, marketing, for example) and does not assume any...

advanceable tax credit

A subsidy to help pay for health insurance that is available when the insurance premium is due, without having to wait until a year-end tax return is filed. (Also seeTax Credit.)

Advanced Alternative Payment Models

Alternative payment models that place some financial risk on providers in return for greater rewards for meeting quality and cost standards. Advanced APMs are one of two value-based payment programs created under the Medicare Access and CHIP Reauthorization Act of...

adverse selection

When a disproportionately high number of individuals in poorer-than-average health enroll in a health plan.

Affordable Care Act

Law enacted in March 2010, phasing in major expansions in insurance coverage, changes in insurance rules, and delivery system changes. The full name of the law is the Patient Protection and Affordable Care Act. (See Affordable Care Act chapter)