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NPC Finance

Across
What that of the week does the BCBSMA Boston walking club meet? (abbrv)
A payment method for health care services where the provider is paid a contracted rate for each member assigned (usually as a PMPM) regardless of the nature of services provided
The practice of a healthcare provider billing a patient for the difference between what the patients health insurance reimburse and what the provider charges
State where Blue Cross originated
What risk adjustment model does CMS use for Medicare business
A provision of the MA health reform law and the ACA that requires individuals to purchase health insurance that meets minimum standards or pay a penalty.
Health care services like lab tests, X-rays, rehab, hospice care and urgent care. Not necessarily performed by docotrs but help doctors diagnose or treat a health condition
What is the nickname of the BCBSMA building on Summer Street
PIRS replacement in 2012
BCBSMA's current pharmacy benefits administrator (abbrv)
Who was the CEO fo BCBSMA for 13 years (last name)
Down
Profitable Growth, Blue for Life and ___ ___ _____
What is the current survey on the 8th floor kitchen asking you to comment on (2 wds)
a metric to measure provider price variation
Company that owns the DxCG risk adjustment model
Number of associates in NPC Finance
Total charges - ___ = Allowed Charges
Second largest physician hospital organization in BCBSMA's network by revenue
State government agency created by Chapter 224 of the Acts of 2012, which was enacted to improve health care quality and contain health care costs through transparency, efficiency and innovation
What important BCBS initiative started in 2009 (abbrv)