Biomaterial Database

Community rating in the Kaiser-Permanente Medical Care Program. 1981

R V Anderson, and N Auger

UI	MeSH Term	Description	Entries
D011907	Rate Setting and Review	A method of examining and setting levels of payments.	Rate Setting, Review,Review and Rate Setting,Rate Settings, Review,Review Rate Setting,Review Rate Settings,Setting, Review Rate,Settings, Review Rate
D002140	California	State bounded on the east by Nevada and Arizona, on the south by Mexico and the Pacific Ocean on the south and west, and on the north by Oregon.
D005249	Fees and Charges	Amounts charged to the patient as payer for health care services.	Charges,Charges and Fees,Fees,Charge,Fee
D006123	Group Practice	Any group of three or more full-time physicians organized in a legally recognized entity for the provision of health care services, sharing space, equipment, personnel and records for both patient care and business management, and who have a predetermined arrangement for the distribution of income.	Group Practices,Practice, Group,Practices, Group
D006125	Group Practice, Prepaid	An organized group of three or more full-time physicians rendering services for a fixed prepayment.	Prepaid Group Practice,Group Practices, Prepaid,Practice, Prepaid Group,Practices, Prepaid Group,Prepaid Group Practices
D006278	Medicare	Federal program, created by Public Law 89-97, Title XVIII-Health Insurance for the Aged, a 1965 amendment to the Social Security Act, that provides health insurance benefits to persons over the age of 65 and others eligible for Social Security benefits. It consists of two separate but coordinated programs: hospital insurance (MEDICARE PART A) and supplementary medical insurance (MEDICARE PART B). (Hospital Administration Terminology, AHA, 2d ed and A Discursive Dictionary of Health Care, US House of Representatives, 1976)	Health Insurance for Aged and Disabled, Title 18,Insurance, Health, for Aged and Disabled,Health Insurance for Aged, Disabled, Title 18,Health Insurance for Aged, Title 18
D006279	Health Maintenance Organizations	Organized systems for providing comprehensive prepaid health care that have five basic attributes: (1) provide care in a defined geographic area; (2) provide or ensure delivery of an agreed-upon set of basic and supplemental health maintenance and treatment services; (3) provide care to a voluntarily enrolled group of persons; (4) require their enrollees to use the services of designated providers; and (5) receive reimbursement through a predetermined, fixed, periodic prepayment made by the enrollee without regard to the degree of services provided. (From Facts on File Dictionary of Health Care Management, 1988)	Group Health Organizations, Prepaid,HMO,Prepaid Group Health Organizations,Health Maintenance Organization,Organizations, Health Maintenance,Organization, Health Maintenance
D014481	United States	A country in NORTH AMERICA between CANADA and MEXICO.