Focus on the Member

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Across
  1. 1. the SQRC is a type of ___ ___ ___ or oversight body
  2. 3. ___ have an impact on a members health and well-being
  3. 4. The health plan will disseminate a ___ ___ that meets Marketplace requirements.
  4. 6. Case management services are structured such that ___ ___ are used for assessment, care planning, implementation, coordination, monitoring and evaluation.
  5. 8. The organization actively manages how members ____ with the organization and receive health benefits
  6. 10. a right to _____ is one of the member rights
  7. 11. ___ ___ is a way of supporting participating providers in their delivery of health services to members
  8. 14. Members have a right to opt-in or ___ ___ of participating in programs.
  9. 15. To assure a __-__ approach to establishing a plan of care, the assessment process addresses member's perception of needs.
  10. 16. ___ ___ ___ is an example of an internal data source a health plan can leverage information to identify members for programs.
Down
  1. 2. ____ are a type of member feedback
  2. 5. The organization's communications pan provides that at the time of ____ and as needed thereafter, members are provided with materials
  3. 7. MSC 2-1 is a ____ standard
  4. 9. the organization implements a population health management plan that covers the total population served across the ______
  5. 12. URAC recognizes a ___ survey as a standardized survey to collect experience of care ratings information from members
  6. 13. ____ _____ is a mutually beneficial relationship between the health plan, the health care delivery system as well as the community at large.