Health Care Economics

3. system a health care insurance system that pays the health care provider a fixed amount based on the medical diagnosis or specific procedure rather than on the actual cost for care is greater than the fixed amount the provider must absorb the additional expense
4. a health care provider who is not in a particular managed care health insurance plan
7. a health insurance plan that allows patients to received care from a nonplan provider but requires them to pay a higher out of pocket price if they do so
11. a process in which a n insurer reviews decisions by physicians and other providers about how much care to provide
12. making better use of health care resources to cut costs
13. a for profit health care facility usually owned by a corporation

1. a health insurance system that allows individuals to obtain group health benefits through an organization such as an employer a union or as an association
2. community facility that receives federal state and local tax exemptions in exchange for providing a community benefit such as services to medicaid patients and those who are unable to pay
5. the federally-funded health care program for older Americans
6. a government health insurance system that provides medical coverage for active and retired service personnel and their dependents
8. the monthly amount paid to a private insurance company for health insurance coverage
9. a physician coordinated health insurance plan that combines characteristics of both HMO and PPO plans
10. a government program that offers health insurance to many lowincome and disabled people