Health Policy Acronyms

Last Updated: February 2015

OPD OPM OPPS

Outpatient Department Office of Personnel Management Outpatient Prospective Payment System

Pay for Performance

P4P

Program of All-inclusive Care for the Elderly

PACE

Pharmacy Benefit Manager

PBM

Primary Care Case Management

PCCM

Patient-Centered Medical Home

PCMH

Primary Care Provider

PCP

Preferred Drug List

PDL

Prescription Drug Plan

PDP

Private Fee-for-Service (Plan)

PFFS

U.S. Public Health Service

PHS

Per Member Per Month

PMPM

Point of Service

POS

PPACA

Patient Protection and Affordable Care Act of 2010 (also, “ACA”)

Preferred Provider Organization

PPO

Prospective Payment System

PPS

Qualified Health Plan

QHP

QI

Qualified Individual

QIO

Quality Improvement Organization Qualified Medicare Beneficiary Qualified Working Disabled Individual

QMB QWDI

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