Levels of Prevention
Show Me the Money (Payment Models)
Danish Healthcare
American Healthcare
100

Getting a flu shot so you never get sick in the first place falls under this level of prevention.

What is primary prevention?

100

Under this model, doctors get paid for each individual visit, test, or procedure they perform.

What is fee-for-service?

100

Denmark's universal healthcare system is mainly funded through this source.

What are taxes?

100

This federal program covers Americans aged 65 and older.

What is Medicare?

200

Mammograms, colonoscopies, and blood pressure checks that catch disease before symptoms appear are examples of this level.

What is secondary prevention?

200

Under this model, a doctor receives a fixed amount per patient per period, no matter how many services that patient uses.

 What is capitation?

200

Danish GPs play this role, meaning patients usually need a referral from them to see a specialist.

What is a gatekeeper?

200

This 2010 law requires most private plans to cover recommended preventive services with no copay or deductible.

What is the Affordable Care Act (ACA)?

300

This level aims to protect patients from overmedicalization and unnecessary tests or procedures.

 What is quaternary prevention?

300

This model rewards doctors with bonuses for hitting targets like vaccination or screening rates.

 What is pay-for-performance (P4P)?

300

These local governments (kommuner) handle health promotion and prevention, lifestyle programs, and rehabilitation.

What are municipalities?

300

Most working-age Americans get their health insurance through this source.

 What is their employer?

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