Term
| what was created in the mid 1900's to decrease the death rate |
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Definition
epidemlogy
science and technology
health departments
hospitals
hygeiene
nutrition
medical schools |
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Term
| how did the improvement change healthcare |
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Definition
| there was a decrease in infectious disease and increase in chronic disease |
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Term
| what are chronic diseases |
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Definition
heart disease
diabetes
cancer
dementia
hypertension |
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Term
| what are the emerging diseases |
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Definition
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Term
| true or false improvements in health care lead to an increase in both chronic and emerging diseases |
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Definition
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Term
| what kind of healthcare does insurance pay for ? |
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Definition
specialized treatment
hospitalization
surgery
prevention
chronic care
acute care |
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Term
| which one does insurance place more of an empahsis on short term care or long term care |
|
Definition
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Term
|
Definition
specialized treatment
hospitalzation
surgery |
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Term
|
Definition
prevention
chronic care
acute care
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Term
| which type of care has big socioeconomic disparties |
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Definition
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Term
| why is healthcare so expensive |
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Definition
technology is expensive cost more to treat patient
prescription drug development
increase in aged population
increase in chronic disease
increased administrative cost
fragmented healthcare
reimbursement is based on procedures not healthcare |
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Term
| how can we pay for health insurance |
|
Definition
private insurnace through employers
government subsidized programs |
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Term
| what are gov't subsidized programs |
|
Definition
medicare
medicaid
CHIP
Dept of Defense
Vetern's Affairs
Worker's Comp
Maternal and Child health Services
School Health Programs
Indian Healthcare Services |
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Term
|
Definition
established in 1965
same as insurance but gov't pays the bills
65 or over to get it
end stage renal disease
disabled |
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Term
|
Definition
| federal/state cooperative health plan |
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Term
|
Definition
| DCF adminsters in FL or SSA |
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Term
| what are the eligbiility requirements to be on medicaid |
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Definition
| citizen,legal immigrant,pregnant,child,seniors,disabled,income must be below the poverty line |
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Term
| when did private insurance begin |
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Definition
| 1929 Dallas teachers and Baylor Hospital 21 days at a hospital at a fixed cost of $6 |
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Term
| what was it called when community hospitals joined private insurance plan |
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Definition
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Term
| what was a CA physcian pre payment plan called |
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Definition
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Term
| true or false private insurance was mainly physcian controlled |
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Definition
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Term
| what are some methods of reimbursement |
|
Definition
fee for service
capitation |
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Term
| what is a fee for service |
|
Definition
| pay for services when given |
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Term
|
Definition
| pay a fixed amount for a particular service |
|
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Term
| when did mange care begin |
|
Definition
|
|
Term
|
Definition
| employer and insurer send patient to the most cost effective health care sites |
|
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Term
| what does managed care do |
|
Definition
| it categorized disease groups with set amount eligible for payment |
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Term
| what were the effects of managed care |
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Definition
DRG's Established
hospital admissions decreased physcian charges did not |
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Term
| what are the two types of managed care |
|
Definition
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|
Term
| What is included in an HMO plan |
|
Definition
agreed upon services
capped cost
must use designated facilities
incentive to be efficient and cost effective |
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Term
| what is included in a PPO plan |
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Definition
70 percent of private insurance
physicians give set discounted prices
choice of provider,hospital,cost caps
not capitated-but discounted |
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Term
| how did people's insurnace become affected in 2008 recession |
|
Definition
unemployment rises
employer sponsored insurance lost
left more than 45 million pple uninsured
insurance companies were charging more for deductibles |
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Term
| what are the two types of social / economic organizations |
|
Definition
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Term
|
Definition
| system organization in which means of producing and distributing goods is owned collectively or by a central govt that often plans and contorls the economy |
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Term
|
Definition
| system in which investment in ownership of the means of production,distribution,and exchange or wealth,is made and maintained chiefly by private indvidulas or cooperations |
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