NEW! Contain costs with our Performance IQ Suite

Learn more

Qualified Health Plan

Abbreviation: QHP

Definition

A Qualified Health Plan (QHP) is an insurance plan that meets the requirements set forth by the Affordable Care Act (ACA), including essential health benefits, consumer protections, and coverage levels. QHPs are certified by the Health Insurance Marketplace, enabling individuals to qualify for subsidies and cost-sharing reductions.

Back to All Terms

Critical insights on the business of health:

Provider: Health System Insights

How data-driven strategies can help improve patient retention

Healthcare Insights

Driving growth, equity, and excellence: Insights from Jesse Longoria, VP of strategy at OhioHealth 

Payer: Health Plan Insights

Leveraging healthcare data analytics for smarter benefits planning

Provider: Health System Insights

Leveraging price transparency for margin improvement in health systems 

Payer: Health Plan Insights

Optimizing specialty care costs through effective referral management  

Payer Insights

Value propositions of vendor consolidation – an alternative to point solutions 

Healthcare Analytics

Leveraging healthcare data analytics to ensure provider quality and profitability

Demand Forecasting

How Healthcare data analytics drives revenue growth for rural hospitals

Demand Forecasting

Maximizing the utilization of high-margin services through demand forecasting 

Healthcare Analytics

Understanding how analytics can drive PCP growth strategy with Memorial Hermann Health System and Clarify Health