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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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