Shared Flashcard Set

Details

Leadership
Exam 2
19
Nursing
Undergraduate 4
10/25/2011

Additional Nursing Flashcards

 


 

Cards

Term
Combination of private and public; primarily employee based.
Definition
How is health care in the US financed?
Term
47 million
Definition
how many people in the U.S are uninsured?
Term
$2.33 trillion (2008) [since 2008 spending has slowed]
Definition
What is the national cost of health care?
Term
16% (of all the money in the U.S)
Definition
What percent of the GDP is that?
Term
$7,600 per person
Definition
How much is spent per person?
Term
1. At the hospital (most expensive) 2. Outpatient [physician services] 3. Medications/Prescriptions
Definition
What are the 3 top expenses?
Term
SCHIP
Definition
(federal program; federal and state program for children; very important and excellent program for uninsured children and their families),
Term
PPACA
Definition
(Obama Care; they are very concerned about healthcare and how it is a moral/ethical issue [everyone deserves it])
Term
PACE program
Definition
all inclusive care program for the elderly. For older Americans living at home who need support services. Has been shown to decrease hospitalization?
Term
1861 in Philadelphia
Definition
first nursing school was in...
Term
Medicare
Definition
made in 1965; all american 65 and older; federal. Part A: mandatory hospital (basic hospital stuff) Part B: tests, procedures, equipment ect. Part C: medicare plus choice; allows private health plans (dental; vision). Part D: prescription drugs
Term
SCHIP
Definition
(8.1 million uninsured) 7.1 million insured children; for parents who make to much to apply for medicare but who dont make enough for private insurance
Term
True
Definition
true or false health spending has been decreasing....
Term
PACE
Definition
eligable to go to LT care facility, but it tries to help you stay at home and get care within the home. Helps cover the cost of the in home care.
Term
Fee for service
Definition
essentially a piecework, pay-as-you-go system in which the care provider is financially rewarded for high service utilization.
Term
Capitation
Definition
method that pays providers for services on a per-member-per month basis, is a common form of prepayment. The provider receives payment whether or not services are used. If a physician exceeds the predetermined payment level, he or she may suffer a financial penalty.
Term
Withholds
Definition
nother form of payment device that seeks to provide financial incentives for efficient resource management. In the withhold scheme a percentage of the monthly capitated fee is withheld from payment to accommodate potential cost overruns for referals or hospitalizations; all, part, or none of the withholds may be returned to the physician at the end of an annual period, depending on its financial performance.
Term
Factors that contribute to the growth in healthcare expenditures
Definition
advancing medical and diagnostic technology, growth in the population of older adults, emphasis on specialty medicine, the uninsured, labor intensity, and reimbursement system incentives.
Term
HMO Act of 1973
Definition
It provided grants and loans to provide, start, or expand a Health Maintenance Organization (HMO); removed certain state restrictions for federally qualified HMOs; and required employers with 25 or more employees to offer federally certified HMO options IF they offered traditional health insurance to employees.
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