Health Care Systems and Providing Care
This country spends more per capita on health care than any other nation.
What is the U.S.?
Payment provided from personal resources.
What the Self-Payment method?
U.S. Veterans qualify
What is the Department of Veterans Affairs?
The amount the client pays before the insurance begins to pay for treatment.
What is Deductible?
Aligns reimbursement to provider for client outcomes.
What is pay for performance?
the 5 key areas addressed when providing health care services: How Clients access health care, Who pays for services, How it is paid, Future trends and challenges, and ...
What is Cost of Service?
Insurance contracts people buy themselves.
What is Individual or Private Insurance?
Pays retirement, disability, and survivors benefits.
Social Security Administration
What is a premium?
Provide quality client care.
Stockholders are paid from payments received for providing care.
Re-invest or donate income.
What is For-Profit Organizations?
What is Non-Profit Organizations?
Benefit Insurance
What is Employer Insurance?
American Indian Tribes and Alaska Natives relationship with the U.S.
What is Indian Health Services?
Amount the client pays at the time of service.
What is co-pay?
Services rarely covered, independent of necessary surgical procedures.
Have purchased hospitals to develop statewide or national healthcare networks in an effort to make money and contain costs.
What are health care corporations?
Insurance provided through a trade or professional organization.
What is Association-Based Insurance?
Medical Insurance program for persons over 65, disabilities, or critical health conditions.
Medical Insurance program for eligible low-income, medically- or physically-disabled clients.
What is Medicare?
What is Medicaid?
Pay a deductible and a co-pay for some services. Generally more choices for providers and allowed services.
What is Preferred Provider Organization (PPO)?
Levels of needed care.
What is Client Acuity Levels?
Systems that offer health care services for a fixed fee, encourage wellness, and limit referrals.
What are Managed Care Systems?
Insurance for those with serious medical conditions that prevent them from standard insurance.
What are High-Risk Pools?
Food handling and licensing, STD/AIDS testing, and other medical services
What is the Health Department?
What is Health Maintenance Organization (HMO)?
Enhances efficiency, contains costs, and provides MEDICALLY NECESSARY services.
What is the goal of Managed Care?