Vocabulary
Federal insurance program for individuals over 65 years old or with specific conditions
Medicare
Medicare was passed in what year by what President of the United States?
1965; President Lyndon B. Johnson
The oldest of the entitlement legislation, passed by President Franklin Roosevelt in 1935 during the great depression when many people were experiencing financial difficulties; laid the foundation for future laws and reforms in the areas of health care, education, community and social systems; Old Age Assistance, Child Welfare Services, Crippled Children's Services, Old Age Assistance, etc.
Social Security Act
The ACA primarily addresses which of these, access, cost or quality?
Access
Occupational Therapy is considered and optional services under the federal and state insurance program
Medicaid
Federal-state partnership meant to provide health insurance to some groups of individuals who cannot afford insurance
Medicaid
Medicare requires recipients to have been a US citizen for _______ years, have paid for (or spouse) paid into Medicare taxes for _______ years.
5 years, 10 years
Passed in 1990 to extend civil rights to people with disabilities in all areas of society
ADA-Americans with Disability Act
"care that is safe, effective, efficient, timely, equitable, or client centered"
Quality
Health care services that help a person keep, regain, or improve skills and functioning for daily living that have been lost of impaired because oa person was sick, hurt, or disabled.
Rehabilitative Services
Electronic information and telecommunication to support long-distance health care and health administration
Telehealth
If you are <65 you will qualify for Medicare if you have this progressive neurodegenerative disease that affects nerve cells in the brain and the spinal cord.
Amyotrophic lateral sclerosis (ALS)
These three factors create the "iron triangle" because they are interdependent and in competition with each other.
Developed to address cost of health care; allows individuals to determine the actual costs of plans and to compare policies based on price and coverage; insurance companies must meet all the requirements of the essential benefits package to be allowed into this exchange.
Health Insurance Market Place
These services are included in the ACA essential benefits package and include blood pressure screening, cholesterol screening, depression screening, diabetes (type 2) screening, obesity screening and counseling and vaccines.
Prevention and Wellness Services
Healthcare services that help a person keep, learn, or improve skills and functioning for daily life.
Habilitative Services
Medicare "C" insurance from private company who contracts with Medicare to provide ll Part A and Part B benefits is known as what?
Medicare Advantage
Passed in 1990; placed greater emphasis on the access o students with disabilities to education that is equal to that of their peers.
IDEA: Individuals with Disabilities Education Act
The ACA established 10 categories of benefits that health insurance companies must cover. These minimum requirements are known as what?
Essential Benefits Package
Medicare model; lead by personal physician; addresses cost through bundled payment per disease
Medical Home Model
Legislation the guarantees rights to benefits to specific groups of individuals
Entitlement
These two parts of Medicare are voluntary
Part C Medicare Advantage
Part D Outpatient prescription drug coverage
Established in 1997; the purpose of this program is to expand coverage of Medicaid to provide coverage to children who are not eligible for Medicaid. Specific regulations and coverage are decided by each state.
CHIP-Children's Health Insurance Program
ACA established this program which is a national, voluntary insurance program for long-term care. The benefit can be used to to maintain independence in the home or in the community through the use of home health services or adult daycare.
CLASS- Community Living Assistance Services and Supports
Addresses cost; new model of care for Medicare; bundled payments per disease or condition; integrated network of providers; providers agree to work together to improve patient's health.
ACO - Accountable Care Organizations