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Managed Care

Exodus Granadosin

Managed Care Module 3 Homework

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Across
4.Fixed monthly sum paid to providers.
7.flat out-of-pocket fee or co-payment.
8.A joint federal and state program.
11.Most successful HMO model.
12.National social insurance program.
13.Alliance between a hospital and local physicians,
14.Network of PCP used by HMO.
16.freee choice of providers.
17.Care outside network of providers.
18.Process of evaluating the appropriatness of services provided.
19.First known private health insurance pals was satrted.
Down
1.responsible for coordinating health care.
2.[no clue]
3.Collects premium for insuring groups os enrollees.
5.A network of healthcare organizations.
6.HMO model contracts with more than one medical group practice.
7.Treatment, management and prevention of illness.
9.A method of reimbursing providers.
10.Contract health care providers and medical facilities to provide care.
15.MCO also owns this facility.

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