Term
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Definition
| – are groups with a likelihood of accidents or illness because of low income or inability to easily access health care services. |
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Term
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Definition
| – those who have no health insurance |
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Term
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Definition
| – third party (other than recipient of care) directly pays for all or part of the health services provided. (Insurance company) |
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Term
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Definition
| – is a method by which a person or a family essentially assumes the financial cost of all medical services. |
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Term
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Definition
| – self-payment costs (a consumer share of the cost for a particular service) |
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Term
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Definition
| – the amount a consumer must pay up front before insurance assumes any cost for services. Pg.91 |
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Term
Health maintenance organizations |
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Definition
| – the most tightly controlled health insurance and service providers, and other managed care plans. |
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Term
Consumer-directed high-deductible health plans |
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Definition
| (HDHP) – health care consumer decides how to use the money in the account. |
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Term
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Definition
| – government insurance program designed primarily for use by older Americans. (pg 95) |
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Term
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Definition
| – where people purchase their own insurance. (8.5 million People have private insurance and purchase their own.) |
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Term
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Definition
| – the price charged by the insurance carrier and is paid totally by individual. (constantly changing) |
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Term
State Children’s Health Insurance Program |
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Definition
| (SCHIP) – expands health insurance coverage to low-income, uninsured children who are not already covered by other assistance programs. (Supplied by federal grants, not used to its fullest capacities.) |
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Term
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Definition
| – created in 1965, designed to provide medical assistance to the poor. |
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Term
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Definition
| – compensates the provider on a case basis for health services. (will change unless change of status in the person) |
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Term
Diagnosis-related group system |
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Definition
| – (DRG) – is a major prospective payment system initiated by the federal Medicare program and consists of a predetermined fee structure for services provided by hospitals for a list of over 468 diagnoses. |
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Term
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Definition
| – health care for all (Pg. 107) |
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Term
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Definition
| – poor; people who are poor have difficulty providing the basic necessities of food, clothing, and shelter for themselves and their families. |
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Term
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Definition
| - government subsidies such as food stamps, public housing assistance, and vouchers for WIC. |
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Term
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Definition
| - to insure devastating financial loss, most elderly persons have some additional health care insurance from private companies. |
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