Population Health Crossword

A classification system for outpatient Medicare reimbursement.
The method to which a patient is connected to a health care system, provider or physician and takes responsibility for the care of that patient
A type of surgery that improves blood flow to the heart by redirecting blood around a section of a blocked or partially blocked artery
A third-tier health insurance plan that allows members to use health savings accounts, health reimbursement accounts or similar medical payment products to pay routine healthcare expenses directly
The episode begins with an admission to the participant hospital and ends 90 days post discharge to cover the complete recovery period.
A group of people who share a characteristic or experience within a defined period
It supports the creation of qualified nonprofit health insurance issuers to offer competitive health plans in the individual and small group markets.
A patient classification system that standardizes prospective payment to hospitals and encourages cost containment initiatives.
Episodes of care based on specific clinical care or procedure related care
A federal law that sets minimum standards for most voluntarily established retirement and health plans in private industry to provide protection for individuals in these plans.
A U.S. legislative agency that monitors and audits government spending and operations.
A risk-adjustment model designed to estimate future health care costs for patients
The U.S. federal government agency responsible for protecting the public’s health and providing important services, especially for people in need.
Created to combat fraud and abuse in health insurance and health care delivery.
A physician who provides at least 90 percent of his/her services in an inpatient hospital, outpatient hospital, or emergency department setting
The process of gathering, analyzing and comparing an individual’s prognostic health characteristics with a standard age group, thereby predicting the likelihood that a person may develop a health problem.
A network of healthcare facilities that provides a continuum of healthcare services as opposed to fragmented care
Mandated in 2003 as part of the Medicare Prescription Drug, Improvement and Modernization Act
Duration of a single episode of hospitalization.
An element or segment of a company representing a specific business function
Requires health insurance issuers to submit data on the proportion of premium revenues spent on clinical services and quality improvement.
A voluntary program that encourages groups of doctors, hospitals and other health care providers to come together as an ACO to give coordinated, high quality care to Medicare beneficiaries.
A group of data elements that represent core items of a comprehensive assessment for adult home care patient and form the basis for measuring patient outcomes.
Creates incentives and disincentives for manage care organization based on their performance on certain quality measures.
An interdisciplinary method of functional assessment used to guide treatment and to assess program effectiveness.
A reporting program for eligible professional to assess and report on quality measures
Conditions in the places where people live, learn, work and play that affect a wide range of health risks and outcome
An organization that processes insurance claims on behalf of a separate entity
A nonprofit accreditation entity to advance healthcare quality through leadership, accreditation, measurement and innovation.
A methodology that calculates the costs of healthcare resources consumed as a patient moves along a care process.