Match the definition in the left column with its correct term in the right column. Options will only be used once.
-Approach to paying for health care in which insurers try to limit the use of health services, reduce costs, or both

Question

​Match the definition in the left column with its correct term in the right column. Options will only be used once.
-​Approach to paying for health care in which insurers try to limit the use of health services, reduce costs, or both

Quizplus · Accepted Answer

Managed-care system is an approach to paying for health care in which insurers try to limit the use of health services, reduce costs, or both.

Answer: F
 HMO (Health Maintenance Organization) is a type of managed-care system that provides health care services to its members through a network of providers.

Answer: I
 Prospective payment system is a method of paying for health care services based on predetermined rates. These rates are set prior to the provision of care and are generally based on the patient's diagnosis.

Answer: J
 Reimbursement refers to the payment made by an insurer for health care services received by a patient.

Answer: A
 Capitation is a method of paying for health care services in which a fixed amount is paid per patient to the health care provider, regardless of the number of services provided.

Answer: H
 PPO (Preferred Provider Organization) is a type of managed-care system that allows members to choose from a network of providers but also provides coverage for out-of-network care at a higher cost.

Answer: B
 Coinsurance is a type of cost-sharing in which the patient pays a percentage of the cost of a health care service, while the insurer pays the remaining percentage.

Answer: C
 Copayment is a fixed, upfront cost that a patient pays for a health care service, with the insurer usually covering the remaining cost.

Answer: D
 Deductible is the amount of money that a patient must pay out of pocket for health care expenses before the insurer begins to cover the costs.

Answer: E
 Group contract is an agreement between an insurer and a group of individuals or an employer to provide health care coverage for a specified group of people.

​Match the Definition in the Left Column with Its Correct

Match the Definition in the Left Column with Its Correct