HC Sytems and Policies
What government program provides health insurance primarily for individuals aged 65 and older?
Medicare
What is the difference between Medicare and Medicaid?
What was the purpose of almshouses in early U.S. healthcare?
They provided care for the poor and sick in the 18th and 19th centuries.
Name one major characteristic of the U.S. healthcare system.
High cost
Complex structure
Technological innovation
Not all are insured
Name one country with a universal healthcare system.
Canada
UK
Germany
France
Which health program is designed for low-income individuals and families, jointly funded by federal and state governments?
Medicaid
What is capitation in healthcare payments?
What was the significance of the Flexner Report (1910)
It reformed medical education, setting higher standards for doctors.
What is the primary goal of the U.S. healthcare system?
To provide access to quality care while controlling costs
What is a key difference between the U.S. and Canada’s healthcare system?
Canada has a single-payer system, while the U.S. relies on private and government funding
What is the healthcare system for military personnel and their families?
TriCare
What is retrospective reimbursement?
A payment method where providers are reimbursed after services are delivered.
What year were Medicare and Medicaid established?
1965, under President Lyndon B. Johnson
Name one reason why national health insurance failed in the early 20th century
Political opposition
Fear of socialism
Insurance company lobbying
What is one way Germany’s healthcare system differs from the U.S.?
Germany has mandatory health insurance with nonprofit insurers
What program provides health insurance to children in low-income families who don’t qualify for Medicaid?
CHIP
What is prospective reimbursement?
A method where payments are predetermined based on diagnosis or treatment type.
What law expanded healthcare coverage in 2010?
The Affordable Care Act – ACA.
What is an Integrated Delivery System (IDS)?
A network of healthcare providers that offer coordinated care across different settings
What is the biggest challenge of universal healthcare systems?
Longer wait times or higher taxes.
What government-run healthcare system serves military veterans?
VA- Veterans Affairs
What is the main advantage of a prospective payment system?
It controls costs by setting fixed prices rather than paying for each service individually.
What are two key changes in healthcare from the preindustrial era to today?
The rise of hospitals
Technological advancements
Managed care expansion
What is a Managed Care Organization (MCO)?
A system that integrates healthcare services to control costs and improve quality.
What is the biggest advantage of a single-payer system?
Universal access and lower administrative costs