Term
| examples of public dental care |
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Definition
federal and state
prisons
community clinic
schools |
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Term
| private dental care examples |
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Definition
private practice
insurance-based models |
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Term
| what groups are most at risk |
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Definition
low socioeconomic
ethnic minorities
special health care needs |
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Term
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Definition
food
cosmetics
pharmaceuticals
biological products
medical devices |
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Term
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Definition
health surveilance prevention
maintaining health statistics
provides immunization services to guard against international disease
administrator of agency for toxic substances and disease rigidity |
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Term
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Definition
| provides medical and dental care to native american indians |
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Term
HRSA
health resources and services administration |
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Definition
provides health resources for medically underserved populations
a nationwide network of community health centers, migrant health centers, primary care programs
services aids patients, organ transplantation system, decrease infant mobility
dental hygiene jobs |
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Term
AHRQ
agency for healthcare research and quality supports research on: |
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Definition
healthcare systems
healthcare quality
cost issues
access to health care
effectiveness of medical treatment
evidence based information on health care outcomes in including oral |
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Term
AOA
administration of aging |
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Definition
caries out provision of older americans act
enhances and supports older population's independence
involved with oral healthcare education |
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Term
CMS
centers for medicare and medicaid services |
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Definition
federal agency providing for:
medicare
medicaid
childrens health insurance CHIP
health insurance portability and accountability act HIPAA
clinical lab improvement amendments
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Term
|
Definition
funds dental care to indigent population and andministration by states
80% of annual federal health care expenditures |
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Term
| examples of federal dental health programs |
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Definition
agriculture
defense
education
justice
labor
state
treasury
veterans affair |
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Term
| Civil Service DH positions |
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Definition
us citizen
backround checks necessary
bachelors degree |
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Term
WIC
women, infants, children |
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Definition
| food, and nutrition counseling and access to health and dental care |
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Term
| children with highest risk for caries and need for sealant placement |
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Definition
| second graders and 6th graders |
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Term
|
Definition
usual and customary fees
range of fees charged by dentists with similar training in same geographic area |
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Term
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Definition
dentist provides service, client pays with cash, check or CC
client repays with loan, cc is most popular method of payment |
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Term
|
Definition
direct reimbursement (client reimbursed by employer)
can be private 3rd party if insurance company pays for services |
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Term
| dental service corporations |
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Definition
legal non profits
UCR
dentist accepts the 90th percentile of fees |
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Term
|
Definition
prepaid health plans
provides prescribed range of service
prepaid, fixed and uniform payments for each clients
dentist and HMO share financial risk |
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Term
| commercial insurance plans |
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Definition
operate for profit
has no obligation to dental health of community
can be selective about groups to offer insurance |
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Term
|
Definition
large group practices contracts to group of subscribers
less common |
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Term
| preferredd provider (PPO) |
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Definition
dental charge fees below community norm
subscriber has free choice of dentist from contract dentist
limited dentist membership
marketed practice builder |
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Term
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Definition
per capita payment from defined population
specific dentists selected, dentist bears the risk
payments are made reguardless of use |
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Term
EPA
exclusive provider arrangement |
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Definition
self insured employer selects its own network of preferred hospitals and healthcare provider
-reduce costs (eliminates middle man)
-limited choices for client |
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Term
|
Definition
employer agrees to reimburse employees
client chooses dentist
third party plans no direct role |
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Term
|
Definition
integration of healthcare delivery and financing
-characterized by internal programs to monitor the amount and quality of services
- providers reciece compensation in predetermined from such as salary or fixed amount per program member |
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Term
| who are most likely to have insurance |
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Definition
| whites with 13 or more years of education |
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Term
| what is the greatest barrier to care |
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Definition
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Term
| barriers to care unrelated to cost |
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Definition
edentulous
-pain with dental care
-lack of need(perception)
-access to care
-
clients time is more valuable than interest in obtaining care
-appearance not valued
-fear/emotions |
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Term
| 3 types of managed dental care |
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Definition
HMO's
PPO
PO's (point of service) |
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Term
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Definition
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Term
|
Definition
| voluntary supplemental medical insurance |
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Term
| what are the 2 coverage options for medicare |
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Definition
-traditional fee for service
-enrollment with a managed care group |
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Term
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Definition
-assistance program
-money from federal, state, local taxes pay for elgible persons
-needy and low income (aged, blind, disabled, members with dependent children) |
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Term
CHIP
childrens health insurance program |
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Definition
eligible individuals have incomes too high to qualify for state medical assistance, but cannot obtain private insurance.
all states participate
has 3 methods of implementation
-medicaid expansion
- state administered (using existing insurance program for state employees)
- combination: state administered and medicaid (must be equivalent to medicaid) |
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Term
|
Definition
-us department of veterans affairs
-craniofacial disorders
-head start
-civilian health and medical program of the uniformed services (CHAMPUS) |
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