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Health Terms: H-I-J-K-L

Health Employer Data and Information Set (HEDIS) :
A set of standard performance measures that can give you information about the quality of a health plan. You can find out about the quality of care, access, cost, and other measures to compare managed care plans.

Health Insurance Portability & Accountability Act (HIPAA) :
A law passed in 1996, which is also sometimes called the "Kassebaum-Kennedy" law. This law expands your health care coverage if you have lost your job, or if you move from one job to another. HIPAA protects you and your family if you have pre-existing medical conditions, and/or problems getting health coverage, and you think it is based on past or present health.

Health Maintenance Organization (HMO) :
A group of doctors, hospitals, and other health care providers who agree to give health care to beneficiaries for a set amount of money every month. In an HMO, you usually must get all your care from the providers that are part of the plan.

HMO with a Point of Service (POS) Option :
A managed care plan that lets you use doctors and hospitals outside the plan for an additional cost.

Inpatient Care :
Health care that you get when you stay overnight in a hospital.


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