Health Care Terms!

3. an insurance company that finances healthcare.
4. Medicine A healthcare system in which providers are paid by the government, and healthcare facilities are run by the government.
6. How well health services result in desired health outcomes.
8. A state tax on insurance premiums.
11. Law requiring that a health plan or insurance carrier must offer a particular procedure or type of coverage.
14. skilled nurses who provide nursing services to someone at home.
15. The amount paid to providers for services they provide to patients.
18. large business and small business forming a group for insurance coverage.
19. services members are set to receive based on their health plan.

1. An organization other than the patient or healthcare provider involved in the financing of personal health services.
2. A "cap" or limit on the amount of services that may be provided.
5. A group insurance plan that requires no payment from employees for their healthcare coverage.
7. the person in a managed care organization who's approval is required for referrals.
9. the amount of money a patient or family must pay before costs are covered by healthcare.
10. People who do not have health insurance of any type. Over 80 percent of the uninsured are working adults and their family members.
12. medications described as necessary in order to cut costs.
13. a procedure planned in advance.
16. A person who has been admitted to a hospital or other health facility, for a period of at least 24 hours.
17. Measures of the effectiveness of particular kinds of medical treatment. This refers to what is quantified to determine if a specific treatment or type of service works.