Health Care Systems Flashcards
1
Q
pay for performance
A
compensates providers only if they meet certain measures for quality and efficiency
2
Q
ACO = Accountable care organization
A
high quality care for Medicare patients
returns saving to Medicare program
3
Q
PPO = Preferred provider organization
A
doesn’t need pcp
can see specialist
in or out of network
4
Q
HMO = Health maintenance organization
A
providers provides acute preventative care
require referrals and prior auths
5
Q
PCMH = Patient center medical home
A
primary care provides treatment needed when and where they need it
