Medicare
The year that Medicare became law?
1965
One Economic Stability Factor
Employment, Income, Debt
Title 19 of the Social Security Act created Medicaid in this year
1965
The purpose of managed care has three critical parts
Access, Cost, and Quality
A PCP is
Primary Care Physician
The Medicare eligibility age
65
Neighborhood & Physical Environment Factors
Housing, Transportation, Safety
Individuals who may not be able to pay for normal living expenses but not healthcare
Indigent
Name a type of Managed Care
PPO, HMO, or POS
Healthcare organizations use two major accounting methods
Financial and Managerial (cost)
Medicare Part A typically covers
Hospital and SNF Services
One of the Education Factors
Literacy or Vocational Training
Funding for Medicaid comes from
The Federal and State governments
The MOST restrictive Managed Care product
HMO
Healthcare organizations that CAN use profits to benefit shareholders
Medicare Part B is usually paid by
The patient or beneficiary through social security deduction
A Food Factor
Access to Healthy Food Options or Hunger
This metric used to determine the financial eligibility for Medicaid
Federal Poverty Level
The LEAST restrictive Managed Care product
Traditional indemnity PPO
Non-Profit healthcare organizations must do what with excess revenues
Reinvest them back into the organization
This part of Medicare covers drug coverage
Community/Social Factors
Discrimination or Community Engagement
The percentage of the federal poverty level for Medicaid
138%
This type of HMO employs physicians exclusively for enrollees
A Closed-Panel HMO
A form of payment for HMOs
Capitation