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Before diving into government health policy documents around Medicare or Medicaid, be sure to familiarize yourself with some of these acronyms (this is a short, basic list):
ACA: Affordable Care Act AHIP: America’s Health Insurance Plans APM: Alternative Payment Model CMS: Centers for Medicare and Medicaid Services EHR: Electronic Health Record FFS: Fee-for-Service GAO: Government Accountability Office HCC: Hierarchical Condition Category HCP LAN: Health Care Payment Learning and Action Network Health IT: Health Information Technology HMO: Health Maintenance Organization HMOPOS: Health Maintenance Organization Point of Service ICD-10: International Classification of Diseases MA: Medicare Advantage MACRA: Medicare Access and CHIP Reauthorization Act of 2015 MAO: Medicare Advantage Organization MedPAC: Medicare Payment and Advisory Committee MIPS: Merit-based Incentive Payment System MLR: Medical Loss Ratio MMA: Medicare Prescription Drug, Improvement and Modernization Act of 2003 MSA: Medical Savings Account OIG: Office of Inspector General PFFS: Private Fee-for-Service PFS: Physician Fee Schedule PPO: Preferred Provider Organization QPP: Quality Payment Program SNP: Special Needs Plans Comments are closed.
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