Healthcare Crisis Crossword Puzzle

2. Flat fees or payments (often $5-10) that a patient pays for each doctor visit or prescription.
7. The organization responsible for the costs of healthcare services. A payer may be private insurance, the government, or an employer's self-funded plan.
9. The specific services and procedures covered by a health plan or insurer.
10. How many times people use particular healthcare services during particular periods of time.
11. access The ability to see a doctor or receive a medical service without a referral from your primary care physician.
15. Healthcare services received by a woman immediately following the delivery of her child
16. An account that lets workers set aside pretax dollars to pay for medical benefits, childcare, and other services.
18. Law requiring that a health plan or insurance carrier must offer a particular procedure or type of coverage.
19. Non-profit, tax-exempt insurance service plans that cover hospital care, physician care and related services. Blue Cross and Blue Shield are separate organizations that have different benefits, premiums and policies. These organizations are in all states, and The Blue Cross and Blue Shield Association of America is their national organization.
20. A healthcare procedure that is not an emergency and that the patient and doctor plan in advance.

1. A person's ability to obtain healthcare services.
3. Large businesses, small businesses, and individuals who form a group for insurance coverage.
4. A percentage of providers' fees that managed care companies hold back from providers which is only given to them if the amount of care they provide (or that the entire plan provides) is under a budgeted amount for each quarter or the whole year.
5. The person enrolled in a health plan.
6. A healthcare system that includes the entire range of healthcare services from out-patient to hospital and long-term care.
8. A federal program of medical care benefits created in 1965 designed for those over age 65 or permanently disabled. Medicare consists of two separate programs: A and B. Medicare Part A, which is automatic at age 65, covers hospital costs and is financed largely by employer payroll taxes. Medicare Part B covers outpatient care and is financed through taxes and individual payments toward a premium.
12. Medical services that are separated out and contracted for independently from any other benefits.
13. The responsibility for profiting or losing money based on the cost of healthcare services provided. Traditionally, health insurance companies have carried the risk. Under capitation, healthcare providers bear risk.
14. A private organization, usually an insurance company, that finances healthcare.
15. A state tax on insurance premiums.
17. The maximum amount of money an insurance company can charge for coverage.