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W . . .
Waiting Periods
The length of time an individual must wait to become eligible
for benefits for a specific condition after overall coverage has
begun.
Wellness
Preventive medicine associated with lifestyle and preventive care
that can reduce health-care utilization and costs.
Withhold
That portion of the monthly capitation payment to physicians
withheld by an HMO to create an incentive for efficient care. A
physician who exceeds utilization norms does not receive the withheld
amount. This system serves as a financial incentive for lower
utilization. The withhold can cover all services or be specific to
hospital care, laboratory usage, or specialty referrals.
Withhold Pool
The amount withheld from a PCP's capitation payment or a specialists
payment amount to cover excess expenditures of his or a groups
referral or other pool.
Workers' Compensation
A state-mandated program providing insurance coverage for work-related
injuries and disabilities.
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