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accreditation Address agency AHSA Association benefit plan Center certification charges claims clinical Community Rating competitive medical plans contract costs coverage Current Procedural Terminology deductible Desk Reference developed Diagnosis-Related Group disability drug educational eligible employee benefits employers enrollees enrollment evaluation example facility federal fee-for-service group health plan Group Practice HCFA health benefits health care reform health care services health insurance Health Maintenance Organizations health services Healthcare hospital individual inpatient insurance carrier Length of Stay Managed Care Desk managed care organizations managed care plan managed competition Medicaid medical services Medicare Model HMO national health nursing Outcomes outpatient patient payment Phone plan member plan's Practitioner Preferred Provider Preferred Provider Organizations premium Primary Care Physician procedures professional programs reimbursement risk services provided specialty standards surgery therapy third party payors treatment usually utilization management Utilization Review WBGH