Health Insurance
Act made by previous president to cover uninsured Americans while controlling and improving the quality of health care
What is The Patient Protection and Affordable Care Act
Beginning in the 1960s what attitude flourished as the rapid pace of new technologies enhanced physician’s abilities to provide treatment?
What is the “if it might help, do it “ attitude.
the more tests for billing the more $$$$$
What is fee-for-service, 1960s.
ADPIE
What is the Nursing process
this insurance company in 1945 captured 50% of the insurance market
What is Blue Cross
- Required employers with more than 200 employees to offer health insurance
- Reduces Medicare payment to some hospitals for Hospital acquired conditions
- Eliminates pre-existing condition barriers
Name one requirement to be eligible for Medicare
What is being over 65 years of age and older and are eligible for social security
the year Medicare was established
What is 1965?
At the federal level, the proposed (or interim) regulations are published in
What is the Federal Register
an ANA program that unifies nurse's political voices across the country to enact measures to benefit health care for all
What is the N-STAT
(Nurses Stragtegic Action Team)
This type of health insurance accounts for the largest percentage of coverage for health care, with the cost of providing health insurance to employees passed on by the employers to the consumer in the pricing of goods and services
What is Private Insurance
By the early 1980s what created substantial increases in Medicare costs?
What is Increased medical usage and high inflation
Year of Health Care Financing Revolution
What is the 1980s?
Consummate political nurse
Who is Florence Nightingale
three branches of the federal government
What are the: Executive, Legislative, and Judicial Branches.
Two types of Public Insurance
What is Medicaid and Medicare
What method was used by Medicaid instead of the fee for service system?
What is Prospective payment system (PPS) based on Diagnosis related groups (DGRs)
Office visit: 130$ to 180$
Routine Physical: 200$ to 240$
What are Health Care Costs?
Written set of rules issued by the executive branch agency that has responsibility for administering a law.
What is REGULATION
More than 60% of bankruptcies in the USA are related to illness, medical causes, and medical debt.
What is Lack of medical insurance
maintaining a safe meat supply through livestock inspections
ensuring safe food storage, preparation, and serving in restaurants
ensuring the health care facilities provide safe, quality care through regulatory compliance
What are actions enforced by State Health Policy
to minimize payment of charges for inappropriate or excessive health care services
What is the goal of managed care ?
-MD Billing
-Best possible Care
-fee-for -service
-sophisticated Med Technology
What are "drivers" of HC?
A necessary part of the policy process
What is Politics
Policy effective Oct. 1, 2008: Medicare would no longer pay hospitals for these types of events
What are Never Events