Public Insurance Programs
Public insurance programs authorized by Titles 18, 19, and 21 of the Social Security Act.
What are Medicare, Medicaid, and CHIP?
The possibility of financial loss from an unlikely event.
What is risk?
Actions designed to persuade decision makers to implement public policies to benefit particular groups or interests.
What is advocacy?
The economic system that relies on market forces for the production and distribution of goods and services.
What is capitalism?
A federal law regulating insurance companies and that provides privacy protections for consumers.
What is HIPAA?
The component of Medicare that mainly covers hospital and skilled nursing care.
What is a deductible?
Providing informed advice to a client relating to a real or potential policy decision.
What is a policy analysis?
Term describing how responsive supply and demand levels are to a change in price or disposable income.
What is elasticity?
Health insurance organizations that integrate the financing and delivery of health care services; designed to create efficiency and reduced costs.
What are Managed Care Organizations (MCOs)?
Individuals younger than 65 years, with incomes up to 133% of Federal Poverty Level.
Who is eligible for Medicaid under the 2014 ACA Expansion of benefits?
The requirement that insured patients pay a portion of medical costs for each episode of care.
What is cost-sharing?
Problem identification, background, landscape, options, and recommendation.
What are the five components of a policy analysis?
What are demand changers?
The methods and tools utilized by those in power to shape society and distribute resources and opportunities for well-being.
What are structural drivers of health?
Individuals meeting a state's income requirements, are younger than 19, are not eligible for Medicaid, and do not have other insurance coverage.
Who is eligible for CHIP?
What is coinsurance?
Policy research, direct lobbying & coalition building, grassroots or grasstops campaigns, and communications/media.
What are the four key tools of an advocacy campaign?
What are supply changers?
The two types of spending contained in the federal budget.
What are discretionary and mandatory?
The coverage gap in in Medicare part D between the initial coverage period and the catastrophic coverage.
What is the prescription drug "donut hole?"
A form of beneficiary cost-sharing that is expressed as a flat dollar payment for each service.
What is a copayment/copay?
Collaboration with other groups or individuals to maximize impact in order to achieve policy goals.
What is coalition building?
The concept of economic resources not being produced or allocated efficiently, sometimes requiring government intervention.
What is market failure?
The main tool used to organize advanced, democratic society.
What is law?