Category: S

A person identified in an extended care, or long-term care facility to provide social services, under the direction of a social work consultant. A designee should have at least two years of college education and, preferably, a B.A. degree. State licensure is not required in any State because the function of social service designee is…

The administration within HEW which manages the social security program including Medicare, which is the responsibility of the SSA’s Bureau of Health Insurance. Since SSA is not under the direction of HEWs Assistant Secretary for Health, this means that Medicare is administered separately from the Department’s other health programs. The federal government’s largest domestic program.…

A device for the pooling of risks by their transfer to an organization, usually governmental, that is required by law to provide indemnity (cash) or service benefits to oi on behalf of covered persons upon the occurrence of certain pre-designated losses. Social insurance is usually characterized by all of the following conditions: coverage is compulsory…

The administration within HEW which manages welfare and related programs including Medicaid, which is the responsibility of SRS’s Medical Services Administration. Since SRS is not under the direction of HEW’s Assistant Secretary for Health, this means that Medicaid is administered separately from the Department’s other health programs.  

In Congress, the final version of an Act of Congress and its first official publication. Each public law is printed in the form of a slip law which also lists, but does not include, the legislative history of the Act, whatever earlier Act may be amended by the new law, as it is amended, or…

A deductible which is not set at a fixed amount but rather varies according to income. A family is usually required to spend all (a spend-down) oi a set percentage of their income above some base amount (for example, all Cr 25 percent of any income over $5,000) as deductible before a member can receive…

The practice in health programs paid on a prepayment or capitation basis of denying or delaying the provision of services needed or demanded by enrolled members as a way of controlling costs (since income is constant whether or not services are actually used). The classic example is the denial or delay of a cataract extraction.…

The practice in health programs paid on a prepayment or capitation basis, and in health insurance, of seeking to enroll only the healthiest people as a way of controlling program costs (since income is constant whether or not services are actually used). Contrast with adverse selection. Sometimes known as creaming. A type of speeded-up reading…

Used synonymously with disease and illness, generally not clearly defined. Common in the insurance field. A state of having an illness. A feeling of wanting to vomit. Any illness or the state of not being in good health.  

In Congress, the shorter, less formal common title given an Act of Congress by its authors. Health Maintenance Organization Act of 1973, and National Health Planning and Resources Development Act of 1975 are short titles. Not all Acts have short titles. The long title, also known as the purpose clause, is a more formal statement…