This glossary can now also be purchased in printed book format!
Glossary of Terms in Managed Health Care
The following are definitions of commonly used terms in the medical provider, hospital and managed care industries. This dictionary is comprised of 26 individual pages, one for each letter of the alphabet. To find a certain word that starts with this letter of the alphabet, may we suggest that you please try the "find" or "search" function in your browser. Or you may simply scroll down the list. If your word starts with another letter, please use the alphabet index below.
This glossary can also be purchased in printed book format if you would like to have it accessible at all times in your desk or briefcase.
JCAHO - See Joint Commission on the Accreditation of Healthcare Organizations, below.
J-Codes - A subset of the HCPCS Level II code set with a high-order value of "J" that has been used to identify certain drugs and other items.
Job-Lock - Laws have now been enacted by congress which include continuance of benefits (COBRA) and other requirements which eliminate pre-existing clauses for those individuals who change coverage plans but have maintained continuance of coverage overall. The inability of individuals to change jobs because they would lose crucial health benefits.
Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) - Formerly called JCAH, or Joint Commission on Accreditation of Hospitals, this is the peer review organization which provides the primary review of hospitals and healthcare providers. Many insurance companies require providers to have this accreditation in order to seek 3rd party payment, although, many small hospitals cannot afford the cost of accreditation. JCAHO surveys organizations frequently, often unannounced, sending in a medical and administrative team to review policies, patient records, professional credentialing procedures, governance and quality improvement programs. JCAHO revises its "standards" annually.
Joint Venture - A type of partial structural integration in which one or more separate organizations combine resources to achieve a stated objective. For example, independent practice associations can share ownership of a venture and responsibility for its operations, but still maintain separate ownership and control over their operations outside of the joint venture.
Justice or Equity - An ethical principle, which, when applied to managed care, states that managed care organizations and their providers allocate resources in a way that fairly distributes benefits and burdens among the members.
This glossary can also be purchased in printed book format if you would like to have a copy for your briefcase or desk.
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