Match the following Key Term(s) or italicized words from your text with the
correct description.
1. Medicare
2. Managed care
3. Case management
4. Medicaid
5. Third-party payer
6. Health maintenance
organization
7. Diagnosis-related
group
8. Preferred provider
organization
9. Point of service
10. Primary care physician
a. Patient care approach aimed at coordinating the
care of patients who are vulnerable, at risk, or cost
intensive so that their specific needs are met in the
most cost-effective manner while still bringing
them to optimum health
b. A federally and state-funded health insurance pro-
gram for individuals who are poor and medically in-
digent, pregnant women, individuals with disabilities,
and children meeting income level requirements
c. The federal government's health insurance
program for people older than 65 years or those
with certain disabilities or conditions
d. The insurance company that finances health care
provided to a beneficiary
e. A system of health-care delivery aimed at manag-
ing the cost and quality of access to health care
f. A type of insurance program where a primary care
physician serves as gatekeeper but the members
are not capitated; insured people can seek care
from health-care providers who are both in and
out of the network
g. The gatekeeper for access to medical services
h. A cost-containment program featuring a primary
the gatekeeper to