Across
- 1. - The entity contracting with state Medicaid agency to provide health care services for the Medicaid population. (ABBRV)
- 3. - _____ Razor Also known as the law of parsimony
- 4. - The greater tendency of people with a more than average likelihood of loss to apply for or continue insurance, when compared with other people.
- 7. - Percentage of capitation held back pending performance
- 8. - The rate of disease in a population.
- 10. - A measure of the extent to which a change in one random variable occurs simultaneously with a change in another random variable.
- 14. - _____ Amount is the maximum amount a plan will pay for a covered health care service.
- 15. - Liability set aside to pay future claims
Down
- 1. - The incidence of death in a population.
- 2. - A measure that takes on values from zero to one and gives the likelihood of occurrence of an event.
- 5. - A fixed amount one pays for a covered health care service after the insured pays the deductible
- 6. - Amount owed by an insurer to all valid claimants who have had a covered loss but have not yet reported it. (ABBRV)
- 9. - Portion of the insured loss (in dollars) paid out of pocket by the policy holder before an insurance provider pays any expenses
- 10. - A US federal agency managing Medicare, Medicaid, and the Health Insurance Marketplace.
- 11. - A transaction between a primary insurer and another licensed (re)insurer where the reinsurer agrees to cover all or part of the losses and/or loss adjustment expenses of the primary insurer, for a premium.
- 12. - a person who applies mathematical approaches to anticipate, measure and manage risk.
- 13. - General term for smoothing numerical information using a set of data points to arrive at a single value (measure of central tendency) to represent those data points.