Government Involvement
Medicare Part A
Which part of Medicare is referred to as the "entitlement"?
For most products and services, consumption changes
when prices increase or decrease.
What is elasticity of demand (or elasticity)?
When insured individuals bear a smaller share of their
medical care costs, they are likely to consume more
care.
What is moral hazard?
Optimizing per capita cost, experience of care and population health aspects of healthcare delivery.
What is The Triple Aim (intended to do)?
Something that relates to someone's health plus something that identifies the person.
What is personal health information (PHI)?
This HHS agency Supports biomedical and behavioral
research within the United States and abroad.
What is the National Institutes of Health (or NIH)?
Clusters of people whose medical costs are combined to determine health premiums.
What is a risk pool?
People who are less likely to receive preventive care and treatment for chronic diseases.
Who are the uninsured?
Standardized survey measuring patients' experiences during their hospital stay.
What is HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems)?
An electronic record of health information shared across more than one organization.
What is an electronic health record (or EHR)?
This HHS agency provides oversight of the Medicare program, the federal portion of the Medicaid program and State Children's Health Insurance Program.
What is the Centers for Medicare and Medicaid (or CMS)?
When only sick/unhealthy people sign up for an insurance plan.
What is adverse selection?
This federal legislation expanded Medicaid at the federal level.
What is the Affordable Care Act (or Obamacare)?
Serious patient safety events that result in
death, permanent harm, or severe temporary harm.
What are sentinel events?
This federal government office was created to develop and promote the use of advanced information technology in health care.
What is the Office of the National Coordinator (or ONC)?
This HHS agency prevents and controls disease and responds to public health emergencies.
What is the Centers for Disease Control and Prevention (or CDC)?
Examples include cancer, diabetes, heart attack, arthritis and AIDS.
What are pre-existing conditions?
This is defined as an organized approach to health care.
What is managed care?
A set of operating philosophies and methods that help create a maximum value for patients by reducing waste and waits.
What is Lean Improvement (or Lean)?
The facilitation of the electronic transfer of clinical information between disparate health information systems.
What is interoperability?
This HHS agency ensures safety of foods, cosmetics, drugs and medical devices.
What is the Food and Drug Administration (or FDA)?
The amount paid by all based on average
healthcare cost of everyone in the risk pool.
What is an insurance premium (or premium)?
Providers are reimbursed at higher rates for improved quality of care and better patient health outcomes.
What is value-based care?
Develop a theory, carry out a test of the theory, observe the results, determine next steps.
What is plan-do-study-act (PDSA)?
Examples include treatment, payment or hospital operations; disclosures about victims of abuse, neglect or domestic violence; and disclosures for law enforcement purposes.
What services do not require HIPAA Authorization?