Health Science Review Chaps 1-5

march 2010

events leading up to ACA being passed by the house of representatives take place, leads into it being enacted

jan 1 2014

tax penalty for those without health insurance

tax cuts and jobs act of 2017

tax penalty ended

goals of ACA

decrease the differences in healthcare between the rich and poor, improve quality of care, aid in rising healthcare costs

aca established the ______ which is a website or platform to purchase health insurance

marketplace

us citizens who do not qualify for ______ can purchase health insurance through the marketplace

medicaid

mechanisms for obtaining health insurance through aca

employers, direct enrollment from third party, those under 26 go through parents, marketplace, or medicaid

FFM-P

federally facilitated marketplace or partnership with state

state based marketplace

controlled solely by state

federally based marketplace

controlled solely by federal government

how does the us government offset costs to consumers who purchase health insurance

tax-credits and cost sharing programs

medicaid is _______ funded

federally

medicaid is available to….

US residents and green card holders who cannot get/afford health insurance

CHIP

Children’s Health Insurance Program

CHIP is for children who….

do not qualify for Medicaid

Medicare

health benefits for US residents and green card holders over 65 years old

Who qualifies for Medicare?

65+ years, disabled, end state renal failure, ALS

Medicare part A

automatically eligible, must meet an annual deductible, benefits: hospital care, long term care, and home health

Medicare part B

automatically eligible, pay a monthly premium, benefits: outpatient care, home health services, and some preventative services

Medicare part C

Medicare advantage plan, optional, requires monthly payments and covers parts A, B, D

Medicare part D

prescription drug plan, requires a monthly premium and covers prescription drug costs

______ can also act as a supplement for those elderly who need long term care services

medicaid

Medicaid covers additional costs of _______ for elderly and low SES

prescription drugs

private insurance is most commonly available through your ______

employer

private insurance companies are of ______ care organizations

managed

MCO

managed care organizations

Preferred provider networks

covers services both in and out of network

PPO

preferred provider networks

health maintenance organization

covers in-network doctors only

HMO

health maintenance organization

exclusive provider organizations

HMOs but do not require referrals for specialty services

EPO

exclusive provider organization

private insurance is a ____ insurance plan

PPO

epidemic

an area that is affected by a sickness/illness

a health department contains an _______

epidemic

pandemic

global spread of disease

______ was the last pandemic before COVID

Spanish flu

the spanish flu is also known as _____

H1N1

the spanish flu spread quickly because of the ending of ______

ww1

the spanish flu killed a high number of….

young adults and children

WHO

world health organization

world health organization function

deals with infectious disease on a global scale

CDC function

centers of disease control, deals with disease spread in the United States

capitation

paying the provider a fixed amount for a service provided

ambulatory services

primary care physician

hospice

care for the terminally ill, services can be in home or in a hospice house

preventative care services

mammography and colonoscopy

rehabilitation services

physical therapy or occupational therapy

health literacy

ability to obtain, process, and understand health information and payment information, mostly affects those from lower SES

department of health and human services is over what agencies?

medicaid and medicare, national institute of health, indian health services, FDA, and CDC

NIH

national institute of health

IHS

indian health services

2020 ruling from the US supreme court challenged healthcare coverage of _______ care

contraceptive