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System Theory
Managed Care
Delivery Syatem/Insurance
Health Care Systems
Vocabulary
100
The end.
Do you evaluate systems in the begging or towards the end ?
100
Yes
Does Managed care promote good health?
100
Service, Consumers, Health Care personnel.
What are the 3 basic Components of a Delivery System.
100
3, Public-Private-Mix
How many Health care systems are there ?
100
Measure to lower health care cost, aim to create an affordable health care system for all Americans.
What is the definition of Health care cost containment ?
200
8
How many steps is there in a system theory ?
200
Type of HMOs, but you can select any primary physician.
What is POS? (Point Of Service)
200
A facility system or organization that provides health care service.
What is a delivery system ?
200
No
Is every type of Health care the same ?
200
Medicare
What is funded by the government and is only and for elders ?
300
Output
What is the final product or service provided by a system.
300
Reduces rates for medical services through a network of health care provider
What is Managed care ?
300
Amount that must be paid by the patient before the insurance agency will begin to make payments.
What is a deductible?
300
Health Care
Is Emergency care service considered a Health Care System or a agency ?
300
A system that provides medical coverage for active and retired service personnel and their dependents.
What is TRICARE?
400
Throughput
What is a process of monitoring outputs to determine whether or not the system is working.
400
Medicare, Medicaid
What is a government facility?
400
Is generally purchases through an employer, split between the employer and the person being insured.
What is group insurance?
400
They treat patients with mental disorders / counseling to people who struggle with substance abuse and addiction.
What is a Mental Health Service ?
400
Is the monthly amount paid to an insurance company for health insurance coverage.
What is a Premium?
500
1-input 2- throughput 3- output 4- feedback 5- controls 6-Environment 7- Mission/Goal 8- Evaluate
What is the system theory in order ?
500
HMOs premium provided by a network or physicians and require to pick a PCP. PPOs have a premium and no specific network and do not require insured persons to select a specific PPC.
What is the difference between HMOs & PPOs ?
500
Patients must pay for all health care expenses out of their own pockets, afterwards they will reimburse the patients for the expenses.
What is indemnity insurance?
500
Long-term, Medical, Mental, Emergency,Laboratories, Hospic, Home Health Care
What is every health care system?
500
Community facility that receives federal,state,and local exemptions for providing a community benefit.
What is a Non-profit Institute?