Chapter 6
Integrated group of providers that work together to provide coordinated care and take responsibility for the quality and efficiency of the care provided.
What is an ACO or Accountable Care Organization?
The purchase of one organization by another.
What is an Acquistion?
The ability to obtain needed healthcare in a timely manner.
What is access?
Public policy that pertains to or influences the pursuit of health.
What is health policy?
The degree to which individuals have the capacity to obtain, process, and understand basic health information needed to make appropriate health decisions.
What is health literacy?
Anyone covered under a particular health insurance plan.
What is a Beneficiary?
An agreement between organizations to share resources without jointly owning assets.
What is an Alliance?
These are also called medical practice guidelines.
What are clinical practice guidelines?
Policies that take money from one group and give it to another.
What are redistributive policies?
Older adults
Adults with low income
Minorities
New immigrants
People who did not speak English in childhood
Who is likely to have low health literacy?
A reimbursement model in which a provider is paid per head.
What is capitation?
Part of the overall treatment plan designed to facilitate release from an inpatient setting.
What is discharge planning?
Evaluation of the overall usefulness of medical technology related to it's cost.
What is Cost-effectiveness?
Health policies in which the government prescribes and controls the behavior of a target group.
What are regulatory tools?
Poorer health status
Increased risk of re-hospitalization
Less likely to engage in preventative behaviors
Decreased knowledge of existing medical conditions
Medication errors
Problems with Informed Consent
Higher health care costs
What are the implications of low health literacy?
Cost sharing in the form of a percent amount.
What is Coinsurance?
A person covered by a health plan especially a managed care plan.
What is an enrollee?
Delivery of health services in a manner that the benefit is greater than the cost.
What is cost-efficiency?
The ability of all citizens to obtain healthcare when needed.
What is universal access?
Conditions in which people are born, grow, work, live, and age.
What are social determinants of health?
Measure of inflation in the general economy.
What is CPI or consumer price index?
Any mechanism that gives people the ability to pay for healthcare services.
What is financing?
Excessive medical care provided as protection against malpractice lawsuits.
What is defensive medicine?
Authoritative decisions made in government to influence the behaviors of others.
What are public policies?
A collaborative approach that recognizes the interconnectedness of people, animals, plants and their shared environments.
What is One Health?