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Match the Definition with the Health Insurance Terminology

Question 61

Matching

Match the definition with the health insurance terminology.

Premises:

Responses:

A federally funded health care insurance plan for the elderly and for certain categories of chronically ill patients

PPO

A managed care organization that contracts with a network of health care providers to render services to the PPO's members

Medicaid

A federally mandated, state-funded program providing access to health care for the poor and the medically indigent

HMO

A managed care organization characterized by the ownership or employer control over the health care providers

MS-DRG

A uniform reimbursement to a health care provider based on the number of patients contractually in the physician's care, regardless of diagnoses or services rendered

Capitation

A collection of health care descriptions organized into statistically similar categories

Medicare

Premises:

A federally funded health care insurance plan for the elderly and for certain categories of chronically ill patients

A managed care organization that contracts with a network of health care providers to render services to the PPO's members

A federally mandated, state-funded program providing access to health care for the poor and the medically indigent

A managed care organization characterized by the ownership or employer control over the health care providers

A uniform reimbursement to a health care provider based on the number of patients contractually in the physician's care, regardless of diagnoses or services rendered

A collection of health care descriptions organized into statistically similar categories

Responses:

PPO

Medicaid

HMO

MS-DRG

Capitation

Medicare

Correct Answer:

Premises:

Responses:

A federally funded health care insurance plan for the elderly and for certain categories of chronically ill patients

A managed care organization that contracts with a network of health care providers to render services to the PPO's members

A federally mandated, state-funded program providing access to health care for the poor and the medically indigent

A managed care organization characterized by the ownership or employer control over the health care providers

A uniform reimbursement to a health care provider based on the number of patients contractually in the physician's care, regardless of diagnoses or services rendered

A collection of health care descriptions organized into statistically similar categories

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