Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

HTH354 > 5 medical technology, 6 health services financing > Flashcards

5 medical technology, 6 health services financing Flashcards

1
Q

medical technology def.

A

the practical application of the scientific body of knowledge for the purpose of improving health and creating efficiencies in the delivery of health care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

nanomedicine def.

A

an emerging area which involves the application of nanotechnology for medical use

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

information technology

A

deals with the transformation of data into useful information. Involves determining data needs, gathering appropriate data storing and analyzing the data and reporting the information in a format desired by its end users

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

clinical information systems

A

organized processing storage, and retrieval of information to support patient care delivery
e.g. electronic records, computerized physician order entry CPOED

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Administrative information systems

A

Assist in carrying out financial and administrative support activities such as payroll, patient accounting, billing. etc

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Decision support systems

A

provide info and analytical tools to support managerial and clinical decision making
two types: managerial, clinical

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

two types of decision support systems

A

managerial, clinical

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

managerial decision support systems

A

forecast patient volume, project staffing requirements etc.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

clinical decision support systems

A

general references, treatment protocols

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

health informatics

A

application of info science to improve the efficiency accuracy and reliability of health care services

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

HITECH law

A

George w. bush
part of the American recovery and reinvestment act
2009
promotes EHR’s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

E- health

A

all forms of electronic health care delivered over the internet

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

M- health

A

mobile health use of a wireless device

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

E- therapy

A

any type of professional therapeutic interaction that makes use of the internet

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what percent of physicians use EHR?

A

78

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

FDA

A

food and drug administration

regulation of drugs, medical devices and equipment, and biological products

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

CON

A

certificate of need
varies by state, requires hospitals to seek approval before acquitting major equipment or embarking on new construction/modernization projects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

AHRQ

A

agency for healthcare research and quality

research on technology cost

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

NIH

A

national institution of health

conducts and supports biomedical research

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

ACA med. tech.

A

placed a 2.3% tax on medical devices except glasses, contacts, hearing aids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

The insurance company is considered _______ because they _______

A

the underwriter, asses risk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

deductible, copayment, coinsurance, and stop-loss prevention are all part of which strategy

A

cost-sharing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

deductible

A

until deductible point is reach insurance doesnt kick in

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

cost- sharing protects against?

A

moral hazard

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
copayment
a set fee that you pay when you use a specific service
26
coinsurance
percentage of a service or something that has been provided
27
stop-loss prevention
no matter what you'll only spend a certain amount of out of pocket for each fiscal year
28
public insurance
medicare, medicaid, indian health service, military health services, system, TriCare veterans health administration, CHAMPVA
29
what portion of the population is covered under public health insurance
1/3
30
medicare covers?
65+, disabled with social security benefits, end stage renal disease
31
balanced budget act
1997 medPAC advices congress on medicare
32
what type of program is medicare? why?
entitlement, because we pay taxes
33
how is part A financed?
payroll taxes
34
what does Part A cover?
hospital insurance
35
how is Part B financed?
75% general federal tax revenue 25% monthly premiums
36
what does part B cover?
supplementary medical insurance, physician services, emergency department services, outpatient surgery, diagnostic test and lab services
37
what does part C cover?
allows people to use an MCO to administer their medicare benefits
38
what does part D cover?
drugs
39
how is part D financed?
with premiums and deductibles
40
what type of program is medicaid?
means tested program
41
how is medicaid funded?
by states and federal government
42
types of private insurance
group insurance, self-insurance, individual, high deductible health plans, medigap
43
what is the main source of coverage?
private healthcare
44
private hc coverage for dependents under ACA
does not require coverage for dependents but if the plan does include coverage they have to be covered until 26 yrs old
45
coverage for preventative services under ACA
required to include recommended preventative services and immunizations with no cost sharing
46
recommended preventative services include:
services that will have substantial benefits immunizations that are routine services for infants, children and adolescents women: contraceptives, well visits, screening, etc.
47
medical loss ratios
% of premium revenue spent on medical expenses in 2011 minimum mlr of 85%
48
what is the minimum essential coverage under the ACA?
have to have at least a bronze level plan
49
ACA individual mandate
required to have a minimum essential plan if not must qualify for exemption of pay tax
50
exemptions to individual mandate
cant afford it more than 8% of household income, religious opposition
51
penalty tax for individual mandate
695$
52
four tiers of insurance
bronze 60% sliver 70% gold 80% platinum 90%
53
employer mandate ACA
also known as employer shared responsibility play or pay: employers have to provide employees with HI or pay penalty 50 or more employees must satisfy minimum value test and affordability
54
minimum value test and affordability
pays for at least 60% must not exceed 9.5% of household income must provide for families up to the age of 26 at least a bronze level plan
55
employer penalty ACA
two types: annual tax of 2,000 per full time employee minus first 30, when they fail minimum value and/or affordability have to pay 3,000 per full time employee
56
Third party payers
insurance company or medicaid/medicare
57
charge
set by provider hospital/physician
58
rate
set by a third party insurance company
59
claim
what providers give to insurance companies to pay
60
reimbursement methods
fee for service, bundled charges, resources based relative value scale, managed care approaches, cost plus reimbursement `
61
fee for services
balanced bill
62
bundled charges
package picking, one comprehensive price that includes everything
63
resources based relative value scale
medicare physician fee schedule
64
managed care approaches
preferred provider, capitation, salary
65
cost plus reimbursement
retrospective- per-patient day | prosepective- how much the patient should stay limits to that
66
group insurance
anticipates that a substantial number of people in the group will purchase insurance though its sponsor
67
self- insurance
employer acts as its own insurer instead of obtaining through company 61%
68
managed care plans
high deductible health plans, medigap
69
high deductible health plans
savings option combined with health plan gaining popularity low premiums consumers have more control
70
medigap
medicare supplement insurance | private health insurance that can be purchased only by those enrolled in the original medicare program

HTH354 (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions