Across
- 1. is a health care practitioner who sees people that have common medical problems
- 3. a program that is intended to increase access to primary care services for Medicaid and Medicare patients in rural communities.
- 6. are the percentage rates used to determine the matching funds rate allocated annually to certain medical and social service programs in the United States of America.
- 8. program provides cash assistance to eligible low-income adults who are age 65 or older, blind
- 9. is a program administered by the United States Department of Health and Human Services
- 10. a system of managed care used by state Medicaid agencies
- 11. populations that have limited access to primary care services
- 14. is the total of your household's adjusted gross income plus any tax-exempt interest income you may have
- 15. nicknamed Obamacare, is a United States federal statute enacted by the 111th United States Congress
- 17. a network of individual medical care providers, or groups of medical care providers, who have entered into written agreements with an insurer to provide health insurance to subscribers. (if you don’t use preferred provider insurance will not help unless emergency)
- 18. It an immigration benefits, including permission to reside and take employment in the United States (Green Card)
- 20. is a method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount
- 22. is a widely used set of performance measures in the managed care industry, developed and maintained by the National Committee for Quality Assurance
- 23. a reimbursement designation from the Bureau of Primary Health Care and the Centers for Medicare and Medicaid Services of the United States Department of Health and Human Services.
- 24. are groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high quality care to their Medicare patients
- 26. a care delivery model whereby patient treatment is coordinated through their primary care physician to ensure they receive the necessary care when and where they need it
- 27. is a United States government program that provides stipends to low-income people who are either aged 65 or older, blind, or disabled
- 28. is a health care provider or a group or organization of medical service providers who offers managed care health plans
- 29. children,adults, and seniors, who experience difficulty living independently and completing daily self-care activities as a result of cognitive disabilities, physical impairments, and/or disabling chronic conditions
- 30. care home, rest home or intermediate care provides a type of residential care
- 31. are used to determine your eligibility for certain programs and benefits, including savings on Marketplace health insurance, and Medicaid and CHIP coverage.
- 32. collect and distribute data about the prescription and dispensation of federally controlled substances
- 33. a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid,
Down
- 2. is the percent of premium an insurer spends on claims and expenses that improve health care quality
- 4. system that employs its own providers, can’t go outside of its network at all
- 5. HospitalPayments payments to qualifying hospitals that serve a large number of Medicaid and uninsured individuals
- 7. is a professional group that publishes research to advance public health and advocates for the interests of registered physician-members
- 10. to see in network provider for lower cost; greater cost if not in network.
- 12. that's certified by the Health Insurance Marketplace, provides essential health benefits, follows established limits on cost-sharing (like deductibles, copayments, and out-of-pocket maximum amounts), and meets other requirements under the Affordable Care Act
- 13. is an agreement between a state and the Federal government describing how that state administers its Medicaid and CHIP programs
- 16. groups of census tracts that have a population-to-provider ratio indicating a shortage
- 19. HMO, PPO hybrid employs own providers but if you go outside of network you are still covered but just paid more
- 21. is the conscientious, explicit, judicious and reasonable use of modern
- 25. 1946 federal statute that permits private parties to sue the United States in a federal court for most torts committed by persons acting on behalf of the United States.
