Certificate of Need
A certificate of need (CON) is a US state approval that health care providers must obtain before major capital spending, new facilities or new services.
Encyclopaedia
Explore comprehensive, evidence-informed explanations of key health economics concepts, including their development, application and relationships to other concepts. Published entries are validated through human expert review.
Concepts, entries and ontology terms
A concept page is a published entry on the wiki. Some concepts also have a full encyclopaedia article. The Health Economics Ontology (HEO) holds every concept, including dictionary terms without an article, so it is larger than the list of published pages. The knowledge graph shows how concepts relate to each other.
Charge Master
A charge master (chargemaster) is a US hospital's list of gross charges for every item and service it bills, before any discount or negotiated rate.
Charity Care
Charity care is free or discounted care a provider gives to patients who meet its financial assistance criteria and cannot pay all or part of the bill.
Choosing Wisely
Choosing Wisely is a clinician-led campaign in which specialty societies list overused tests and treatments that doctors and patients should question.
Citizen Jury
A citizen jury is a small, randomly selected group of the public who hear expert evidence on a health policy question, deliberate and make recommendations.
Claims Adjudication
Claims adjudication is a payer's review of a healthcare claim to decide whether to pay it in full, in part or not at all, and what the patient owes.
Clinical Alert
A clinical alert is an automated message in a health record or ordering system warning a clinician of a patient-specific risk, such as a drug interaction.
Clinical Algorithm Development
Clinical algorithm development is building a step-by-step diagnosis or treatment pathway from evidence review, consensus and often economic evaluation.
Clinical Analytics
Clinical analytics is the analysis of patient-level clinical data, such as electronic health records, to describe care, predict risk and inform decisions.
Clinical Effectiveness Review
Clinical effectiveness review is the part of an HTA that systematically reviews evidence on a technology's benefits and harms compared with alternatives.
Clinical Guideline
A clinical guideline is a set of care recommendations for a defined clinical situation, based on a systematic review of evidence on benefits and harms.
Clinical Integration
Clinical integration is the coordination of a patient's care across professionals, services and settings so that it runs as one continuous process.
Clinical Outcome
A clinical outcome is a result showing how a patient feels, functions or survives, such as stroke or death, used to judge benefit in economic evaluation.
Clinical Pathway
A clinical pathway is a structured multidisciplinary plan setting out the expected steps and timing of hospital care for a specific clinical problem.
COBRA Coverage
COBRA coverage is the US right to keep an employer group health plan for a limited time after job loss or another qualifying event, usually at full cost.
Coercion
Coercion in health research is a threat of harm used to make someone take part against their will, so their consent is not voluntary and not valid.
Cognitively Impaired Research
Cognitively impaired research is research with people whose impaired capacity may prevent valid consent, so proxy involvement and extra safeguards apply.
Coinsurance
Coinsurance is the percentage of the allowed cost of a covered health service that an insured patient pays, usually after the deductible has been met.
Coinsurance Rate
The specific percentage of a covered service's cost an insured person is responsible for paying under a coinsurance arrangement.
Community Rating
Community rating is a health insurance pricing rule that stops premiums varying with health or claims, allowing at most limited variation by age or area.