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Chapter 3

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Term
Definition
QISMC= Quality Improvement System for Manager Care   Was established by Medicare to ensure accountability of managed care plans in terms of objective, measurable standards  
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PCP= Primary Care Physician   Provide care for enrollees on managed care plan  
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Joint Commission (JC)   Performs healthcare accreditation  
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Before scheduling an elective surgery   A second surgical opinion (SSO) may be required by the insurance company  
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Capitation   pre-established payments for healthcare services  
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Consumer-directed Health Plan (CDHP)   is NOT a managed care plan  
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Case Management   is development of patient care plans  
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A plan offered by a single insurance plan or joint venture by two or more insurance carriers and which provides subscribers or employees with a choice of HMO, PPO or traditional health plan can be called by the following names   Flexible benefits plan/ Cafeteria plan/ Triple option plan  
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Physician Incentives   encourage physicians/providers to reduce or limit services  
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Consumer-Directed Health Plan (CDHP)   provide incentives for controlling healthcare expenses and gives individuals an alternative to traditional health insurance and managed care coverage  
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Medical Foundation   is a nonprofit organization that contracts and acquires the clinical business assets of physician practices  
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Risk Pool   a number of people are grouped for insurance purpose and cost of healthcare coverage is determined by employees health status, age, sex and occupation  
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Point of Service (POS) Plan   patient may use HMO providers or self-refer to non-HMO providers  
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Customized Sub-Capitation Plan (CSCP)   a type of consumer-directed health plan (CDHP) where the individual selects one of each type of provider to create a customized network and pays the resulting the resulting customized insurance premium  
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MSO   provides practice management services to individual physician practices  
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The "Report Card" contains data regarding managed care plan's   quality utilization financial stability  
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Enrollees   are employees and dependents who join a managed care plan  
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PCP   is also referred to as a "Gatekeeper"  
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Gag Clause   prevents provider from discussing all treatment options with patients  
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Network Provider   Physician or healthcare provider under contract to a managed care plan  
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Managed healthcare was designed to   replace traditional free-for-service plans with more affordable quality healthcare to patients  
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PPO= Preferred Provider Organization   a network of physicians and hospitals that have joined together to contract with insurance companies, employers and other organizations to provide healthcare to subscribers for a discounted fee.  
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HMO is a health maintenance organization. It is an alternative to traditional group health insurance coverage provides   -Comprehensive healthcare services to -voluntarily enrolled members -on a prepaid basis  
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In a Managed care Plan   enrollees receive care from a primary care provider (PCP) who is a doctor that serves as a "gatekeeper" by providing essential health care services at the lowest possible cost  
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The Joint Commission (JC)   discontinued its Network Accreditation Program for Managed Care Organization in January 2006  
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HMO= Health Maintenance Organization   provide preventative care services to promote wellness  
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Physician-Hospital Organization   is owned by hospital(s) and physician groups and obtain managed care contracts  
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The National Committee for Quality Assurance   is a non-profit organization that assesses the quality of managed care plans in the U.S.  
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Free-for-Service=   reimburses providers for individual healthcare services provided  
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Utilization Management/Review   is a method of controlling healthcare cost and quality of care by reviewing the appropriateness and necessity of care provided to patients  
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Examples of managed care plans are:   -Triple Option Plan (TOP) -Point of Service (POS) -Exclusive Provider Organization (EOP)  
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Accreditation=   voluntary process that a healthcare facility or organization undergoes to demonstrate it has met standards beyond those required by law  
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Managed Care Organization   is responsible for the health of a group of enrollees and can be health plan, hospital, physician group or health system  
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Case management=   the development of patient care plans for the coordination and provision of care complicated cases in a cost-effective manner  
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SSO= Second Surgical Opinion   the second physician is asked to evaluate the necessity of surgery and recommend the most economic, appropriate facility  
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