Chpt 27 Flashcards
What system was effective in reducing expenditures for hospital care but overall costs continued to rise because it wasn’t included for outpatient care?
Diagnosis-related group
Which form of managed care is the most stringent because the organization has a financial incentive to preserve the health of its members?
Health maintenance organization
In the late 1980s, the legislature of which state undertook a plan to spread its resources over a larger number of people by limiting the services for which it would pay?
Oregon
True/False The United States spends far more on medical care per person than any other country in the world.
True
True/False The United States spends far more on medical care per person than any other country in the world.
Fasle
True/False Aging of a country’s population tends to raise medical costs because of the increased need for services and the more expensive nature of services for older adults.
True
True/False Newer technologies tend to better diagnose problems, and, thus, save lives but at a much higher cost and with higher demand.
True
True/False The American healthcare system wastes considerable amounts of money in areas such as failure of care delivery and failure of care coordination.
true
True/False It is rare to see someone sue a doctor or a hospital for malpractice outside the American system.
ture
True/False The American legal climate tends to put doctors at ease and leads to less defensive medicine than other countries.
false
True/False A health maintenance organization acts as both insurer and provider.
true
In ________________________, patients are required to seek care from participating providers who have agreed to provide services at lower rates.
Preferred Provider Organizations
When ____________________ was the norm, hospitals could charge higher rates to insured patients to cover the costs of treating the uninsured.
Fee-for-service
Popular among political conservatives and was encouraged during the Bush administration
Consumer-directed health plans
Insurance payments do not kick in until after individuals themselves have paid for a significant amount of services
deductibles
Individuals set aside funds tax-free to be used for paying medical expenses
Health saving accounts
Aimed at addressing many of the problems with the American medical care system
Healthcare reform law
A joint federal-state program which never worked as well as it was expected to, but now covers many more Americans
Medicaid
Prohibited denial of medical coverage due to pre-existing conditions
Affordable care act
Passed in the 1990s and decreased the percentage of uninsured children to less than 10 percent
Children’s Health Insurance Program
Obamacare
Aimed at addressing many of the problems with American medical care system
