Posts by letter


public option

June 3, 2020 – A public option – also referred to as a public plan – was a proposal within the health reform legislation that would have created a… Read more

Private health insurance definition

April 20, 2020 – Private health insurance refers to health insurance plans marketed by the private health insurance industry, as opposed to government-run… Read more

pre-admission certification

July 6, 2018 – Pre-admission certification – also called pre-certification review, or pre-admission review – refers to approval by a case manager or… Read more

Platinum plan

September 6, 2017 – See Obamacare metal… Read more

public exchange

September 27, 2016 – The ACA included a provision to set up a public exchange in every state, run by either the state, HHS, or a collaboration between the two.… Read more

private exchange

September 27, 2016 – A private exchange is simply an online resource set up by brokers, insurance carriers or benefit consultants, where individuals and… Read more

Patient Protection and Affordable Care Act (PPACA)

September 23, 2016 – The Patient Protection and Affordable Care Act (PPACA) – also known as the Affordable Care Act (ACA) or Obamacare – is the landmark… Read more

preferred provider organization (PPO)

September 17, 2016 – A preferred provider organization (PPO) is a managed care organization of health providers who contract with an insurer or third-party… Read more

primary care provider (PCP)

September 17, 2016 – A health care professional (usually a physician) who is responsible for monitoring an individual's overall health care needs. Typically, a… Read more


September 17, 2016 – Provider is a term used for health professionals who provide health care services. Sometimes, the term refers only to physicians. Often,… Read more

premium assistance tax credits

September 6, 2016 – Premium assistance tax credits – usually just called premium subsidies – are included in the health reform legislation to help ensure… Read more

pre-existing condition

August 10, 2016 – A pre-existing condition is a medical condition that is excluded from coverage by an insurance company because the condition was believed… Read more