Healthcare Delivery in the United States

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These flashcards cover key vocabulary terms and concepts related to healthcare delivery and systems in the United States.

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20 Terms

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healthcare system

An organized way of delivering healthcare services to a population.

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spectrum of healthcare delivery

A range of healthcare services from preventive care to end-of-life care.

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population-based public health practice

Healthcare that focuses on the health outcomes of a group of individuals.

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long-term care

Services that provide assistance to individuals over an extended period.

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inpatient care

Medical care provided to patients who stay overnight in a hospital.

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outpatient care

Medical care provided to patients who do not require hospitalization.

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Medicare

A federal healthcare program for individuals aged 65 and older, and certain younger individuals with disabilities.

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Medicaid

A state and federally funded program that provides healthcare coverage for low-income individuals.

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managed care

A system of health care delivery that aims to manage costs and quality of care.

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deductible

The amount a policyholder must pay out-of-pocket before insurance coverage begins.

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coinsurance

The percentage of costs of a covered healthcare service that the insured must pay after the deductible.

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copayment

A fixed amount paid by the patient for a specific service, usually at the time of service.

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health maintenance organization (HMO)

A managed care organization that provides health insurance coverage for a range of medical services.

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preferred provider organization (PPO)

A managed care organization that offers more flexibility in selecting providers compared to HMOs.

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Affordable Care Act (ACA)

A comprehensive healthcare reform law enacted in 2010 aimed at expanding healthcare coverage and reducing costs.

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Children’s Health Insurance Program (CHIP)

A program that provides health coverage to eligible children in families with incomes too high to qualify for Medicaid.

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health insurance

A contract between a patient and an insurer to cover healthcare expenses.

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complementary and alternative medicine

Medical practices that are not part of standard medical care and are used alongside or instead of conventional treatments.

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self-insured

When a company or organization assumes the financial risk for providing healthcare benefits to its employees.

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quality of health care

Assessment of healthcare effectiveness, including being effective, safe, timely, patient-centered, equitable, and efficient.