health care

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22 Terms

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ACA / Obamacare

2010 healthcare reform law to expand coverage, improve quality, and reduce costs.

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Essential Health Benefits

Required services all ACA plans must cover.

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Medicaid Expansion

Expands Medicaid to adults ≤138% of federal poverty level.

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Marketplace

Online site to buy ACA health insurance plans.

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Qualified Health Plan (QHP)

ACA-approved plan sold on the Marketplace

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Premium Subsidies

Help lower the cost of monthly insurance payments.

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HRRP

Reduces Medicare payments to hospitals with high readmissions (heart attack, heart failure, pneumonia).

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ACO

Provider group sharing responsibility for cost and quality.

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Uncompensated Care

Unpaid “charity care” for uninsured/underinsured.

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Navigator

Person trained to help people enroll in Marketplace plans.

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Tax Cuts and Jobs Act

2017 law that removed the individual mandate penalty.

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Health IT

Tech systems that store, protect, and share health information.

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Electronic Health Record (EHR)

Digital patient record accessible anywhere.

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CDSS

Tech that gives diagnostic & treatment recommendations.

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CPOE

System for doctors to enter orders electronically.

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Interoperability

When electronic systems can share patient information.

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Telemedicine

Healthcare delivered at a distance using technology.

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Wearable Technology

Device worn on the body to monitor health.

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3-D Printing

Makes prosthetics, implants, and lab tools.

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Bar-Coding Technology

Scanner that reads coded info on medications/products.

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HIPAA

Law that protects privacy/security of PHI.

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HITECH Act

Encourages EHR adoption; created “Meaningful Use.”