Across
- 1. Actions taken by an individual or group aiming to influence, public policy, resource allocation, and other decisions.
- 3. insurance purchased by a health plan to protect it against extremely high cost cases.
- 5. a federal entitlement program of medical and health coverage for the elderly and disabled governed by the federal social security act.
- 7. operating in an accountable way by providing health care consumers cost and quality data before treatment so they can choose the best care at the best price.
- 8. quantity of services used by patients, such as hospital days, physician visits, or prescriptions.
- 10. Services provided to individuals who need assistance with activities of daily living.
- 12. Health outcomes of a group of people and the distribution of outcomes within that group.
- 13. the process by which an individual and family become subscribers for coverage in a health plan.
- 14. The use of living organisms and biological systems to develop medical products and medical treatments.
- 16. Professional health service workers who are licensed to practice independently.
- 17. A specific amount that an insured individual must pay for a specified service or procedure.
- 21. A payment method in which a physician or hospital is paid a fixed amount per patient per year.
- 22. In health, an event, condition or disease occurrence that is counted.
- 27. Health care that is measured by the outcomes achieved instead of the amount of services delivered.
- 30. Digital records that contain a comprehensive patient medical history, combining information from multiple provider sources.
- 31. Measurement of the quality of health care provided to individuals or groups of patients, against a previously defined standard.
- 32. system and organizational inefficiencies that lead to higher health care costs without improved outcomes.
- 33. costs that do not change or vary with fluctuations in enrollment or in utilization of services.
- 34. arrangement of several delivery points
- 37. identification, evaluation, and corrective action against organizational behavior that would otherwise result in financial loss or legal liability.
- 38. special areas of plan coverage, such as outpatient visits, hospitalizations, or prescription drugs, that make up the range of medical services marketed under a health plan.
- 39. Guidelines adopted by organizations and governments that promote constrained decision making and action.
- 40. Measures of treatments and effectiveness in terms of access, quality, and cost.
Down
- 2. An individual who coordinates and oversees other health care workers in finding the most effective methods of caring for specific patients.
- 4. Organizational relationship for specific purposes
- 6. Care for which expected health benefits exceed negative consequences.
- 9. Clinical and supportive activities intended to treat or manage mental illness and or alcohol or substance abuse.
- 11. An insurer, engaged in providing. paying for, or reimbursing all or part of the cost of health services
- 15. the general health care that people receive on a routine basis that is not associated with an acute or chronic illness.
- 18. joint federal state program of health care coverage for low income individuals under the federal social security act.
- 19. Insurance provision that limits the amount of plan coverage to a certain percentage, commonly 80%.
- 20. A type of insurance that pays for high cost health care, usually associated with injuries and chronic conditions.
- 23. Medical care of a limited duration, provided in a hospital or outpatient setting, to treat an injury or short term illness.
- 24. Persons with an interest in the performance of an organization.
- 25. A count of unnecessary deaths from diseases for which effective public health and medical interventions are available.
- 26. An action such as regular exercise, eating a balanced diet, or obtaining necessary vaccinations that people practice to maintain good health and prevent illness.
- 28. The amount insured individuals must pay out of pocket.
- 29. a patient visit to a provider.
- 35. in the united states, person who has no third party source of payment for health care services.
- 36. a periodic payment required to keep an insurance policy in force.