Chapter 3 Insurance
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| show | replace fee-for-service plans with affordable, quality care to health care consumers.
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| The Medical Center received a $100,000 capitation payment in January to cover the health care costs of 150 managed care enrollees. By the following January, $80,000 had been expended to cover services provided. The remaining $20,000 is | show 🗑
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| show | medical foundation.
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| show | primary care provider (PCP)
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| show | standards
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| show | Maintain separate bookkeeping systems for each capitated plan.
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| show | accreditation
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| Which define employer contributions and ask employees to be more responsible for health care decisions and cost-sharing? | show 🗑
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| show | PPO
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| show | IDS
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| show | EPO
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| Patients can use the managed care panel of providers (paying discounted health care costs) or self-refer to out-of-network providers (and pay higher health care costs). | show 🗑
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| Managed Care Organization (MCO) | show 🗑
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| show | reimburse providers for individual health care services rendered, managed care is financed according to a method called capitation, where providers accept preestablished payments for providing health care services to enrollees over a period of time
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| PCP serves as a ____ | show 🗑
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| show | providing essential health care services at the lowest possible cost, avoiding nonessential care, and referring patients to specialists.
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| show | a method of controlling health care costs and quality of care
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