kahoot hadm review

which of the following is true regarding public health

national surveillance system evaluates public health

a primary motivation in the development of managed care was to…

contain cost and expenditures of HC - addressed by HMO

__ are barriers or causes that lead to disparities in access to care

rural areas, income, minorities, occupational factors

ACA requires verification of income and citizenship to quality for federal premium subsidies: T OR F

true

HC is the responsibility of which various house committees in congress

energy and commerce, committee on appropriations, ways and means: ALL OF THE ABOVE

who finance healthcare:

employers, individuals, government: ALL OF THE ABOVE

premium and cost sharing subsidies under ACA are limited to:

legal immigrants and US citizens

__ recieve more advanced training, conduct patient evaluations, diagnose problems and develop treatment plans

technologists/therapists

amount charged by insurer to provide coverage, cost often shared between employer and employee:

premium

medicare part __ pays for hospital bills, SNF, and home health:

A

medicare part __ is considered to be medicare advantage:

C

this HC interest group is concerned with cost containment, admin simplification, and cost shifting:

employers

this HC interest group is concerned with income maintenance, prof. autonomy, malpractice reform

physicians/providers

which of the following has sheilded the US healthcare system from a major overhaul

beliefs and values

alabama is considered a medicare expansion state: T OR F

false

__ prospective reimbursment for medical outpatient ervices; adjusted for geographic variations in wages

APCs

co-insurance, co-payments, deductibles and premiums are exapmles of

cost-sharing

__ is used by self-insurance plans to cover high-risk losses through insurance from another insurer

re-insurance

__ is a fixed, predetermined rate for each 60 day episode of care, regardless of services in home

HHRGs

this insurance is means tested

medicaid

legislation that provided financial assistance to build 9200 hosptials across us

hill burton act

temporary heatlh insurance continuation for former employee; discounted group incurance rates

COBRA

legislation that eliminated life-time maximums on health insurance plans

ACA

means per member per month and often used by HMOs as a means of reimbursment

capitation

which are reasions why HC costs are so high in US

growth in tech, growth in elderly population, defensive medicine: ALL OF THE ABOVE

why did national health insurance not devleop in the US

AMA, decentralized system, gernmany was socialized medicine and we hate germany: ALL OF THE ABOVE

HC policy requires anyone coming into emergency oom to be stabilized and treated regadless of ability to pay

EMTALA

prohibits medicare patients referrals to labs or other HC facilities where HC rpovider of their family has $$ intrest

stark II

created national database to track legal actions against healthcare providers

healthcare quality act

federal health policy: established CON laws and introduced prospective payment system

national health planning and resources development act

health policy that permits workers who lose thier health insurance to continue their insurance by payingp to 102%

COBRA

federal stature whcih broadened the definition of “disablity” thus increasing # of people covered under legislation

ADAAA

provided $$ to create community mental HC to treat people with mental illness, mental retardation and substance abuse

community mental health act