Glossary of Healthcare Terms

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Episode-Based Payment

A form of Episode of Care payment that is synonymous with bundling.

Equity

The money value of property, or interest in property, after all claims have been deducted.

Equity Risk Premium

A rate of return added to a risk-free rate to reflect the additional risk of equity instruments over risk-free instruments (a component of the cost of equity capital or equity discount rate).

Essential Coverage

A federally-mandated minimum level of coverage that every U.S. citizen must obtain unless an exemption applies. Coverage includes government sponsored programs, eligible employer sponsored programs, plans in the individual market, grandfathered group health plans, as well as some other types of coverage.

Exam Lane

Refers to the area where optometrists assess the patient's visual acuity, eye, and systemic health, in determining the appropriate prescription and/or course of treatment required by the patient.

Excess Benefit Transactions

A transaction in which an economic benefit is provided by an applicable tax-exempt organization, directly or indirectly, to or for the use of a disqualified person, and the value of the economic benefit provided by the organization exceeds the value of the consideration received by the organization.

Excess Capacity

The actual output of a firm, industry, or economy is below the rate at which all resources are fully employed.

Excess Earnings

That amount of anticipated economic benefits that exceeds an appropriate rate of return on the value of a selected asset base (often net tangible assets) used to generate those anticipated economic benefits.

Exclusive Provider Organization

A managed care plan in which patients must utilize a participating, in-network provider for non-emergency services or receive no insurance reimbursement, and have to self-pay.

External Beam Radiation Therapy (EBT)

Involves the administration of high-energy x-ray beams to kill cancer cells and treat tumors. Often, some x-ray, ultrasound, or CT imaging is used prior to the delivery to insure that the path of the beam will align with the target area.

External Benchmarking

Consists of several different subcategories of benchmarking and includes any inter-entity comparison.

Extracorporeal Shockwave Therapy (EST)

EST is a noninvasive procedure used to treat chronic heel pain by increasing bloodflow and breaking down calcification deposits in soft tissue.

Extraordinary Collection Actions

Actions taken by a hospital facility against an individual related to obtaining payment of a bill for care covered under the hospital facility

Eye Refractions

"The refraction test is an eye exam that measures a person's prescription for eyeglasses or contact lenses ....A refractor or phoroptor holds a variety of lens strengths to test your vision." 

Facilities and Services

The criteria for classifying healthcare organizations comprised of descriptors attributed to a company
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