MED BIO -- History of Healthcare, Healthcare Systems, & Insurance

Outpatient

patient briefly admitted for labs, consultations, etc. (less than 24 hours)

Inpatient

A patient admitted for the hospital 24 hours or longer

Long-Term Care Facility

Facility that provides care to the elderly, disabled people, or people with long-term illness

Residential Care, Extended Care, Independent/Assisted Living

List the types of Long-Term Care Facilities

Assisted Living Facility

Facility where nurses assist and help patients with everyday tasks and activities to accommodate them

Medical Office

place responsible for general care such as consultations, labs, examinations, and minor surgeries/procedures (can be specialized)

Clinic

health care facility that can provide specialized care (i.e. rehabilitation, specialty, outpatient, etc.)

Dental Office

office with general or specialized care for teeth, gums, tonsils, and mouth.

Optical Office

offices that specialize in eyes and vision.

Emergency Care Service

provide special care to victims of sudden trauma or accidents

ambulance, rescue squads, clinics, helicopter, airplane

List the Types of Emergency Care

Medical Laboratory

place where samples of blood, urine, feces, and more are tested to rule out any abnormalities (disease, virus, malnourishment, etc.)

Home Health Care

provide health services at a patient’s home

Personal Care, Nursing, Therapy, Homemaking

List the services provided by Home Health Care

Hospice

provides care for a terminally ill patient and their family

counseling for patient and family, family support after patient’s death

List the kinds of services provided by Hospice

donations, membership fees, fundraisers, federal/state grants

Who supports voluntary/non-profit organizations?

Deductible

amount patient pays before insurance covers medical bill

After the patient pays their deductible

When does Co-insurance cost-sharing begin?

Premium

Annual Payment for insurance

Co-payment

payment a patient makes directly to doctor/office/clinic at the time of the visit

The higher the deductible and out-of-pocket maximum, the lower the premium

What is the relationship between the deductible and your insurance premium?

Medicare

Government health insurance plan that covers the elderly, disabled people, or people with chronic/long-term illness (automiatically enroll at 65 yo)

Medicaid

government health insurance plan that covers people with limited income/resources

Part A

(MEDICARE) Hospital Coverage — mandatory; covers hospital visits, nursing care facilities, hospice)

Part B

(MEDICARE) Medical Insurance — covers outpatient, home health, medical equipment, and preventable services

Part C

(MEDICARE) Medicare Advantage — a private plan including parts A, B, and D, as well as dental and vision insurance; however, it is unreliable and not all hospitals accept it.

Part D

(MEDICARE) Drug Coverage — covers prescription medication, shots, and vaccines; typically paired up with part A if you have a perscription

World Health Organization

WHO — focuses on global health issues

Food and Drug Administration

FDA — places food and drug regulations in America

National Institute of Health

NIH — institute responsible for regulating and funding medical research

Centers for Disease Control

CDC — responsible for keeping track of ongoing epidemics and health hazards in US to warn Americans

Occupational Safety and Health Administration

OSHA — responsible for passing laws and regulations regarding workers’ health and safety