Types of Healthcare Organizations
For-profit healthcare organization, such as a private hospital or clinic.
What is proprietary institution?
Pay your medical bills directly to the doctor or hospital without using insurance or any other middleman.
What is direct payment?
A plan with lower premiums than others, but has to stay in-network.
What is HMO?
Measures desighned to lower health care costs.
What is health care cost containment?
federal health insurance for anyone age 65 and older, and some people under 65 with certain disabilities or conditions.
What is medicare?
Provides medical services or support without making a profit.
What is a voluntary nonprofit institution?
A period when you don't have health insurance or when your insurance doesn't cover certain costs, leaving you without financial protection for medical expenses.
What is coverage gap?
High premiums, both networks, does not require referrals.
What is PPO?
Provides primary healthcare services, treating a wide range of health conditions and offering preventive care.
What is a gatekeeper?
A government program that provides health insurance to low-income individuals, families and people who are disabled.
What is Medicaid?
Group of doctors and hospitals that work together to provide coordinated care and improve health outcomes while reducing costs.
What is accountable care organizations?
Healthcare payment method where multiple services provided during a single episode of care are paid for together. (supposed to reduce costs)
What is bundeling payments?
In-network only, does not require referrals, low premiums, has a high deductible.
What is EPO?
A tax-free account for saving money to pay for medical expenses, can be paired with high-deductible health plans.
What is a HSA?
health care program for active and retired members of the U.S. military and their families. It provides health coverage, including medical, dental, and pharmacy benefits.
What is TRICARE?
Organization that manages and coordinates healthcare services to control costs and improve quality.
What is managed care organizations?
A total value of all goods and services produced within a country over a specific period usually a year.
What is gross domestic product?
Medium premiums, both networks, referrals required, expensive out of network deductible.
What is POS?
The money a person pays before the insurance policy provides benefits.
What is a deductible?
Provides low-cost health coverage to children in families that earn too much money to qualify for Medicaid but not enough to buy private insurance.
What is CHIP?
A healthcare clinic that receives federal funding to provide low-cost medical care to underserved communities.
What is federally qualified healthcare centers?
Presence of a one or more additional medical conditions or diseases occurring along side a primary condition in a patient.
What is comorbidities?
Which health insurance plan has the highest premiums?
What is PPO?
A low-cost health insurance with high deductibles, covering major emergencies after reaching a certain limit.
What is a catastrophic plan?
Part of Medicare that covers medical insurance, including doctor visits, outpatient care, preventive services, and some home health care.
What is medicare part B?