Across
- 4. The process by which insurers evaluate the risk of insuring a person or entity and determine the terms and cost of coverage based on this risk.
- 6. The unification of two organizations by combining assets to operate under a single entity and typically a new name, consolidating resources and capabilities.
- 9. The person or entity entitled to receive benefits from a public insurance policy.
- 10. The amount paid, typically monthly or annually, by the insured to the insurer to keep the insurance policy active.
- 11. A healthcare delivery system where a single organization is responsible for managing the financing, insurance, service delivery, and payment for enrolled members to control costs and ensure quality care.
Down
- 1. A system in which a primary care physician oversees and coordinates all healthcare services for an enrollee, often as part of managed care, to ensure appropriate care and control costs.
- 2. The amount the insured must pay out of pocket before the insurer begins to cover costs.
- 3. A percentage of costs the insured pays after meeting their deductible, with the insurer covering the remaining percentage.
- 5. This type of integration links services across the continuum of care (e.g., preventive services, primary care, acute care, and rehabilitation) within a single organization.
- 7. A reimbursement model where a fixed amount is paid per enrollee (often monthly), covering all necessary healthcare services that enrollee may require.
- 8. The company or entity that provides insurance coverage, assuming the financial risk of potential losses in exchange for a premium.