Medicare & Medicaid
This federal program primarily covers adults ≥65 years old.
What is Medicare?
This model pays providers based on quantity of services delivered.
What is fee-for-service?
This law protects patient health information privacy.
What is HIPAA?
This U.S. agency is responsible for disease surveillance and outbreak response.
What is the CDC?
This level of care serves as the first point of contact in the healthcare system.
What is primary care?
This joint federal-state program provides healthcare to low-income individuals.
What is Medicaid?
This term describes the balance between cost, quality, and access in healthcare.
What is the Iron Triangle?
This ethical principle refers to a patient’s right to make their own medical decisions.
What is autonomy?
This organization regulates drugs, biologics, and medical devices in the U.S.
What is the FDA?
This model coordinates patient care across providers and settings to improve outcomes.
What is care coordination?
This part of Medicare covers outpatient services and physician visits.
What is Medicare Part B?
This payment model gives a fixed amount per patient regardless of services used.
What is capitation?
This act expanded healthcare coverage and introduced insurance marketplaces in 2010.
What is the Affordable Care Act (ACA)?
This organization sets global health standards and coordinates international health efforts.
What is the WHO?
This healthcare delivery model emphasizes team-based, patient-centered care.
What is the patient-centered medical home (PCMH)?
This supplemental plan helps seniors fill in areas of their plan that they need.
What is Medigap?
This system incentivizes providers based on patient outcomes and quality metrics.
What is value-based care?
This doctrine requires physicians to disclose risks, benefits, and alternatives before treatment.
What is informed consent?
This concept refers to conditions like housing, income, and education that impact health.
What are social determinants of health?
This program penalizes hospitals for high rates of readmission.
What is the Hospital Readmissions Reduction Program (HRRP)?
This nickname for the Medicare Part D coverage phase represents a temporary gap in prescription drug coverage where patients paid a higher share of costs.
What is the “Donut Hole”?
This Medicare payment reform law replaced the Sustainable Growth Rate formula.
What is MACRA (Medicare Access and CHIP Reauthorization Act)?
This landmark case established a woman’s constitutional right to abortion (later overturned in 2022).
What is Roe v. Wade?
This federal agency administers Medicare and Medicaid programs.
What is CMS (Centers for Medicare & Medicaid Services)?
This term refers to legal limits on the services non-physician providers can perform.
What is scope of practice?