Health Care Costs
What is the recent trend in health care costs?
Increasing
What is one example of public health insurance in the USA?
Medicare, Medicaid, and CHIP
Which type of physician handles the majority of health issues?
Primary care physician
What are the three components of the Iron Triangle?
Quality, Costs, and Access
Which country spends the most money in health care?
USA
What is timeliness important in the access to healthcare?
Reduces mortality rates, Increase organization, Illnesses treated before worsening
What does ACO stand for?
Accountable Care Organization
Specialists
What are the three main problems related to cost?
Waste, Abuse, and Fraud
What is the meaning of health care access?
Access to healthcare means having “the timely use of professional health services to achieve the best health outcomes
What is the difference between primary care physicians and specialists?
Primary: Generalist family Doctor
Specialist: Specialized Field of Medicine.
What does ACA stand for?
Affordable Care Act
What are two consequences of Rising Health Care Costs?
Coverage Access, State Budgets, Middle Class Wage, Economic Stability
What is one advantage of having a usual source of healthcare?
Better Health Outcomes, Lower Costs, Preventative services, recommended screenings
What are two issues with FFS Payment?
Incentivizes over-treatment, Promotes fragmentation of care, Increases healthcare expenditures
Why do providers not report waste more?
Paid by fee for service, Impacts income, Resistance to change
Name two examples of how spending is wasted in the healthcare industry?
Unnecessary services, Failures of care delivery, Overtreatment, Pricing Failures, Administrative complexity
Name two components of access to health care and their meaning?
Coverage: facilitates entry into the healthcare system. Uninsured people are less likely to receive medical care and more likely to have poor health status. Services: Having a usual source of care is associated with adults receiving recommended screening and prevention services. Timeliness: ability to provide health care when the need is recognized. Workforce: capable, qualified, culturally competent providers.
What is the difference between inpatient and outpatient?
Inpatient: Admitted to hospital under doctor orders, Followed by Stay at a Nursing Care Facility
Outpatient: Physician visits, emergency care, care without being admitted to hospital
What are two ways to reduce waste?
Payment reform: value based, Patients internalize more costs, Comparative effectiveness research, Competitive bidding, Accountable care organizations (ACO)