Module 1 Part 3 Word Scramble
|
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
| Question | Answer |
| contract with a medical center or group of physicians to provide preventative and acute care for insured | HMO |
| what always requires a referral to a specialist | HMO |
| what are some common HMO models | IPA, staff model, group model |
| general or family practice that practices independently | IPA |
| Physicians hired by HMO | staff |
| multispecialty people with or without a gatekeeper | group |
| what preserves the fee-for-service concept | PPO |
| has a predetermined list of charges and is contracted with providers | PPO |
| no capitations or prepaid care | PPO |
| usually has deductibles and/or copays | PPO |
| has capitaiton plans | HMO |
| providers are paid per member, per month | capitation plans |
| patients may not even see the provider but they are paid a fee for that month | capitation plans |
| combines features of HMO and PPO | exclusive provider organization |
| employers agree not to contract with any other plan | exclusive provider organization |
| members much choose from a list of network providers | exclusive provider organization |
| america's oldest and largest system of independent health insurers | blue cross/blue shield |
| offers incentive contracts to healthcare providers | blue cross/blue shield |
| federal government assists states in providing healthcare services | medicaid |
| physicians may decide if they want to treat patients with this kind of coverage | medicaid |
Created by:
emileekp