Managed Care Plans Crossword Puzzle

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Across
  1. 3. A plan that provides coverage of medical expenses similarly to HMOs and PPOs, but allows for members to receive care from physicians outside of the network
  2. 4. Employees banding together to obtain more favorable prices.
  3. 6. Plans that are comparable to managed care plans but do not participate as much in choosing and financing healthcare decisions.
  4. 7. The HMO contracts with two or more independent group practices.
  5. 9. An open panel of physicians who work out of their own offices and treat HMO patients for reduced fees/fee-for-service.
  6. 10. Medical expense plans that provide covered services to the covered members in a cost-effective manner
  7. 12. A managed care plan that offers comprehensive medical services in exchange for a fixed, prepaid fee.
Down
  1. 1. Providers contracted to provide certain medical services to members for a discount.
  2. 2. A fixed annual amount for each plan member, regardless of the number of medical services provided
  3. 5. A primary care physician who determines whether specialized care is required or not.
  4. 8. Physicians are employees of another group contracted with the HMO.
  5. 11. Physicians are employees of the HMO and are paid a salary with/without a bonus.