Exam 2 Review

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Across
  1. 1. Optional Medicaid service coverage
  2. 4. This type of relationship is a characteristic of different managed care models
  3. 6. Used by the Federal government to measure the use of hospital services by Medicare patients
  4. 7. No Medicaid patient cost sharing for this type of service
  5. 9. This type of drug utilization review is done at the time of dispensing
  6. 11. Joint State and Federal insurance
  7. 13. Federal insurance with standard guidelines across States
  8. 16. Medicare Parts B and D, has this for those with higher income
  9. 18. Physicians experience this when their practice patterns are compared on cost and quality dimensions
  10. 21. Persons with this disease may gain coverage from Medicare if they are younger than 65 years (acronym)
  11. 22. Providers are paid a specific amount of money for a population for a specific period
  12. 23. CMS calculates this to help determine how much to contribute to each State's Medicaid program (acronym)
  13. 24. Eligibility age for Medicare
Down
  1. 2. Federal requirement of States to not limit the availability and coverage of services
  2. 3. If a managed care plan has few benefit controls, then the cost becomes ___________
  3. 5. Medicare does not give extensive coverage for this service
  4. 8. Medicare Part B reimburses this group of providers
  5. 10. Health plan that has a tax advantage account attached to it
  6. 12. This characteristic of a managed care plan refers to the financial risk taken on by a provider
  7. 14. This insurance plan will not cover out of network care, if not an emergency (acronym)
  8. 15. This type of plan offers Medicare Part C
  9. 17. This type of managed Care plan is preferred by patients
  10. 19. Access to Medicaid is based on this
  11. 20. Medicare part D covers this