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vocab

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Term
Definition
managed care   responsible for health of a group of enrollees  
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MCO   managed care organization  
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fee-for-service   reimbursement methodology that increases payment if health care service fees increase  
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capitation   providers accepts pre-established payments for providing health care services to enrollees over a period of time  
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HEDIS   healthcare effectiveness data and information set  
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PCP   primary care provider  
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Gatekeeper   primary care provider for essential health care services at lowest possible cost  
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case management   development of patient care plans to coordinate and provide care for complicated cases  
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SSO   second surgical opinion  
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POS   place of service  
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HMO   health maintenance organization  
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PPO   preferred provider organization  
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FSA   flexible spending account  
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NCQA   national committee for quality assurance  
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HSA   health savings account  
🗑


   

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