Systematic method of collecting, collating, and analyzing patient data to develop provider-specific information about medical practice.

An arrangement under which all or some of the risk associated with providing coverage is not covered by an insurance contract.

Right to enter or use healthcare services. This term is often used when considering the availability (or lack of same) of medical services.

The cost to acquire a new customer or new business. In the insurance industry, it includes costs such as underwriting the risk, issuing a new policy, paying commissions and other overhead or office expenses.

Everyday activities for self-care. Whether a person can perform any or all of these activities independently is used as a measure of an individual's ability to function independently. These activities include eating, bathing, dressing, toileting and transferring according to the federal government. Some authorities add continence and ambulatin [..]

The amount a physician or supplier actually bills for a particular medical service or supply.

A professional who mathematically analyzes and determines the price of the risk associated with providing insurance coverage. An actuary may also determine the anticipated cost of providing future benefits. Factors considered in an actuarial study include the projection of future claims experience, administrative expenses and anticipated investment [..]

Care for illness or injury that develops rapidly, has pronounced symptoms and is finite in length.

An insurance rating methodology that allows insurers to vary premiums using certain risk factors such as age and geography.

A type of contract with an insurance company or a third-party administrator that provides an employer with administrative services such as claim payment. It does not provide coverage for the risk of insurance protection. The usual expenses covered include claims processing, plan design advice and printing benefit booklets. These contracts are usual [..]