Glossary
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30-Day Readmission Rate
The percentage of patients discharged from a hospital who are readmitted within 30 days. Used as a quality and efficiency metric by CMS and payers.
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Accountable Care Organization (ACO)
A network of doctors, hospitals, and providers who voluntarily coordinate to deliver high-quality care to Medicare patients while reducing unnecessary costs.
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Biosimilar
A biologic product approved as highly similar to an FDA-approved reference biologic, with no clinically meaningful differences in safety, purity, or potency.
Balance Billing
When an out-of-network provider bills a patient for the difference between the provider's charge and what the insurer pays. Also referred to as surprise billing.
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