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healthcare in US ch 1 and Ch 3
healthcare in US ch 1 and ch 3
35
Other
Undergraduate 4
01/28/2013

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Cards

Term
what was created in the mid 1900's to decrease the death rate 
Definition

epidemlogy

science and technology

health departments

hospitals

hygeiene

nutrition

medical schools 

Term
how did the improvement change healthcare 
Definition
there was a decrease in infectious disease and increase in chronic disease 
Term
what are chronic diseases 
Definition

heart disease

diabetes

cancer

dementia

hypertension

Term
what are the emerging diseases
Definition

HIV

SARS

MRSA

H1N1 

Term
true or false improvements in health care lead to an increase in both chronic and emerging diseases 
Definition
true 
Term
what kind of healthcare does insurance pay for ? 
Definition

specialized treatment

hospitalization

surgery

prevention

chronic care

acute care 

Term
which one does insurance place more of an empahsis on short term care or long term care 
Definition
short term care 
Term
what is  short term care 
Definition

specialized treatment

hospitalzation

surgery 

Term
what is long term care 
Definition

prevention

chronic care

acute care

 

Term
which type of care has big socioeconomic disparties 
Definition
long term care 
Term
why is healthcare so expensive 
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 

Term
how can we pay for health insurance 
Definition

private insurnace through employers

government subsidized programs 

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 

Term
what is medicare
Definition

established in 1965 

same as insurance but gov't pays the bills

65 or over to get it

end stage renal disease 

disabled 

Term
what is medicaid 
Definition
federal/state cooperative health  plan 
Term
who adminsters medicaid 
Definition
DCF adminsters in FL or SSA
Term
what are the eligbiility requirements to be on medicaid 
Definition
citizen,legal immigrant,pregnant,child,seniors,disabled,income must be below the poverty line 
Term
when did private insurance begin
Definition
1929 Dallas teachers and Baylor Hospital 21 days at a hospital at a fixed cost of $6 
Term
what was it called when community hospitals joined private insurance plan
Definition
Blue Cross
Term
what was a CA physcian pre payment plan called 
Definition
Blue Shield 
Term
true or false private insurance was mainly physcian controlled 
Definition
true 
Term
what are some methods of reimbursement 
Definition

fee for service

capitation 

Term
what is a fee for service 
Definition
pay for services when given
Term
what is capitation 
Definition
pay a fixed amount for a particular service 
Term
when did mange care begin
Definition
it began in the 1980 
Term
what is manged care 
Definition
employer and insurer send patient to the most cost effective health care sites 
Term
what does managed care do 
Definition
it categorized disease groups with set amount eligible for payment 
Term
what were the effects of managed care 
Definition

DRG's Established 

hospital admissions decreased physcian charges did not 

Term
what are the two types of managed care 
Definition

HMO

PPO

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 

Term
what is included in a PPO plan
Definition

70 percent of private insurance

physicians give set discounted prices 

choice of provider,hospital,cost caps

not capitated-but discounted

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 

Term
what are the two types of social / economic organizations 
Definition

socialism

capitalism 

Term
what is socialism
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  
Term
what is capitalism 
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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