HCC Chapter 1 Flashcards
Capitation
a payment method used by a managed care organization.
The U.S. government’s role in the arena of health care delivery consists of being the responsible party for
health care delivery through Medicare and Medicaid.
Market is based on
peoples ability to pay.
Uninsured populations access medical care through
safety net providers. The U.S. safety net is for the nation’s most vulnerable populations, such as the uninsured, the poor, and minority groups.
What do you call the ideology system that emphasizes the wellbeing of the community over an individual?
The social justice system.
Review litigating medical malpractice. Is this one of the primary objectives of the health care delivery system?
It is not put under one of the primary objectives, there should be preventative care provided to patients. This can be cost effective in many ways. Managed care is preventative care.
Are health service expenditures projected to continue decreasing?
They are expected to keep growing, passing through 2031 with more growth. There has been growth since COVID numbers have decreased from previous years and aide was offered to qualifying people of the US.
What are the two types of financing mechanisms commonly used in managed care plans?
Capitation and discounted fees.
U.S. Military utilizes the insurance program called
Tricare
