Basics
Services provided to a neighborhood/community to solve a health issue or problem
Community Health
Creates a vision
payment for each service
fee-for-service
Health coverage for low-income
Medicaid
This type of health involves governmental services provided to all people living in an area often at no cost. Typically, it also is used for preventing pandemics and/or spreadable diseases.
Public Health
Organizing
Management
Per-member-per-month
capitation
Part of the bill that a patient must pay at the time for service
co-pay
Cost, Quality, and Access; when one improves, it may leave a negative effect on the other
Inspiring and motivating others
Payment per diagnosis
Diagnosis-Related Group (DRG)
A provider that is contracted with the insurance company and is discounted if used by the patient
in-network
ACA
Affordable Care Act
Planning
Management
Single payment for an episode of care
Bundled Payment
Bill submitted by the provider to the insurance company
a claim
What are 2 functions of the Board of Directors?
1. Assures the community that the hospital cares for patients properly
2. assumes financial responsibility
3. Exercises final approval over who is appointed or removed from medical staff,
4. Oversees all activities of the CEO
Requires a formal title
Per-day-of-stay
Per diem
Payments to providers from insurance companies
a reimbursement