Access:  A person's ability to obtain affordable medical care on a timely basis. . . .
Accreditation:  An evaluative process in which a healthcare organization undergoes an examinatio . . .
Acquisition:  The purchase of one organization by another organization. . . .
Actuaries:  The insurance professionals who perform the mathematical analysis necessary for . . .
Actuary:  A mathematician working for a health insurance company responsible for determini . . .
Adjusted Community Rating (ACR):  A rating method under which a health pla . . .
Administrative Services Only (ASO) Contract:  The contract between an employer and a t . . .
Admitting Privileges:  The right granted to a doctor to admit patients to a particular hospital. . . .
Advocacy:  Any activity done to help a person or group to get something the person or group . . .
Agent:  A person who is authorized by an MCO or an insurer to act on its behalf to negot . . .
Aggregate Stop-Loss Coverage:  A type of stop-loss insurance that provi . . .
Ambulatory Care Facility (ACF):  A medical care center that provides a wi . . .
Ancillary Services:  Auxiliary or supplemental services, such as diagnostic services, home health ser . . .
Annual Maximum Benefit Amount:  The maximum dollar amount set by an MCO . . .
Antitrust Laws:  Legislation designed to protect commerce from unlawful restraint of trade, price . . .
Appropriate Care:  A diagnostic or treatment measure whose expected health benefits exceed its expe . . .
Appropriateness Review:  An analysis of healthcare services with . . .
Associate Medical Director:  Manager whose duties are often defined a . . .
Association:  A group. Often, associations can offer individual health insurance plans special . . .
At-Risk:  Term used to describe a provider organization that bears the insurance risk asso . . .