Financing Health Care and Health Insurance

Flashcards based on the lecture notes about Financing Health Care and Health Insurance.

In 2018, the five areas that accounted for about 80% of national health expenditures were hospital care, physician and clinical services, __, other professional, dental, and personal care services, and nursing home and continuing care.

prescription drugs

The sources of payments for health care include out-of-pocket payments, private health insurance, and __.

public funding

__ is the term used in health insurance to describe the concept of transferring risk from one to many.

Risk pooling

__ refers to costs paid by an individual at the time of service.

Copayments

__ coverage includes physician, outpatient, hospital, surgery, rehab, and Rx benefits.

Comprehensive

HMO stands for __.

Health Maintenance Organizations

__ was enacted in 1965 as Title XVIII of the Social Security Act.

Medicare

Medicare Part A covers __.

Hospital Insurance (HI)

Medicaid provides coverage to the __.

'medically indigent'

CHIP stands for __.

Children's Health Insurance Program

In 2018, the most common type of health insurance coverage was __.

employment-based private health insurance

The __ are more likely to delay seeking care, resulting in preventable health problems, disability, and premature death.

uninsured

The ACA Medicaid expansion was adopted by states as of 2020.

37

TRICARE provides federal health benefits for veterans, military personnel and their family through the Department of Defense (DOD) medical facilities, TRICARE Plan, __ medical facilities and VA Civilian Health and Medical Program (CHAMPVA).

Veteran Affairs (VA)

In forms of payment, the insured must meet __ for their care in Fee-For-Service.

deductibles/copays