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Some health policy acronyms

11/18/2017

 
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



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