Created by the Affordable Care Act (ACA) to ensure compliance with the new insurance market rules, this agency of the U.S. Dept. of Health and Human Services oversees the medical loss ratio rules and assists states in reviewing insurance rates. In addition, it...
Congress created the “Innovation Center” as part of the Affordable Care Act (ACA) to test innovative payment and service delivery models to reduce program expenditures, while preserving or enhancing the quality of care for those who receive Medicare,...
(formerly Health Care Financing Administration, HCFA) The federal agency administers Medicare, Medicaid and the Children’s Health Insurance Program (CHIP).
Health care facilities selected to deliver specific services, often exclusively, based on criteria such as experience, outcomes, efficiency and effectiveness.
The requirement that a health care institution obtain permission from an oversight agency before making major changes to its facilities or facility-based services, or before building new facilities.