Match the Term with the Appropriate Definition or Description

question 24

Multiple Choice

Match the term with the appropriate definition or description:
-An organization that provides a wide range of comprehensive health care services for a specified group of subscribers for a fixed, prenegotiated, periodic rate, normally a PMPM capitation rate

• A)closed panel
• B)gatekeeper
• C)group model HMO
• D)HMO Act of 1973
• E)independent practice association (IPA)
• F)integrated delivery system (IDS)
• G)Kaiser Permanente
• H)managed care
• I)managed indemnity plans
• J)network model HMO
• K)open panel
• L)per member per month (PMPM)
• M)HMO
• N)staff model HMO
• O)capitation
• P)physician hospital organization (PHO)
• Q)copayment

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Definitions:

Health Insurance

A type of insurance coverage that pays for medical and surgical expenses incurred by the insured or provides reimbursement to the insured for expenses incurred from illness or injury.

Embryonic Period

A stage in prenatal development that occurs from the 2nd to the 8th week after fertilization, when major organs and structures begin to develop.

Spontaneous Abortion

A natural loss of pregnancy before the fetus can survive outside the womb, often referred to as a miscarriage.

Fetal Surgery

A medical procedure performed in utero to treat abnormalities before birth, aiming to improve long-term health outcomes.