Chapter 11: The Blue Plans, Private Insurance, and Managed Care Plans

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Across
  1. 3. Not included within capitation rate
  2. 9. Monthly set amount paid to doctor for each HMO member
  3. 10. Form of cost sharing
  4. 11. Limits losses of a claim
  5. 12. Capitation payment amount held by HMO
  6. 14. Patient refers himself to a specialist
  7. 15. Doctor telephones doctor to refer patient: _____referral
Down
  1. 1. ____panel program limits patients choice of doctors
  2. 2. X-ray and laboratory services
  3. 4. Primary care physician
  4. 5. Health plan combines managed care and traditional insurance
  5. 6. Doctor justifies transfer of sick, high cost patients to other doctors
  6. 7. Model of HMO that hires physicians
  7. 8. Amount paid before insurance plan begins coverage
  8. 13. Oldest prepaid health plan (abbr)
  9. 14. Specific geographic area of HMO plan