Healthcare Systems - HOSA Bowl

Healthcare System

Organized network of providers and resources delivering healthcare to a population.

Public Healthcare

Government-funded healthcare provided through taxes.

Private Healthcare

Healthcare funded by individuals or private insurance companies.

Universal Healthcare

System providing healthcare access to all citizens regardless of ability to pay.

Medicare

Federal program for people 65+, disabled individuals, or those with ESRD.

Medicaid

Joint federal-state program for low-income individuals and families.

CHIP

Children’s Health Insurance Program for families above Medicaid limits.

HMO

Managed care plan requiring use of network providers and referrals.

PPO

Managed care plan offering more provider flexibility.

Premium

Monthly payment for health insurance coverage.

Deductible

Amount paid before insurance begins covering costs.

Copayment

Fixed amount paid for a healthcare service.

Coinsurance

Percentage of costs paid after deductible is met.

Out-of-Pocket Maximum

Maximum amount paid in a year before insurance covers all costs.

Primary Care

First point of contact for patient care.

Secondary Care

Specialized care provided by referral.

Tertiary Care

Highly specialized medical care.

Hospice Care

Comfort-focused care for terminally ill patients.

CDC

Centers for Disease Control and Prevention; U.S. public health agency.

WHO

World Health Organization; global health agency of the United Nations.