Health Care Systems and settings Flashcards

1
Q

Hepatologists

A

Liver, biliary tree, gallbladder, and pancreas

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2
Q

Nephrologists

A

Kidney care, disease of kidney

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3
Q

ophthalmologists

A

eye conditions

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4
Q

Orthopedists

A

Bones, joints, muscles, tendons, and ligaments

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5
Q

Otolaryngologists

A

ear, nose and throat

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6
Q

Pathologists

A

diagnose or treat conditions, body tissue, urine, blood, other body fluids

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7
Q

Medicare

A

pt. 65 and older; part A (hospitalization), part B ( office visits)

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8
Q

Tricare

A

authorized dependents of military to receive treatment from civilian providers at the expense of federal gov.

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9
Q

CHAMPVA

A

covers spouse and dependent children of veterans who died as a result of service- related disabilities

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10
Q

Medicaid

A

for the medically indigent population through a cost-sharing program ( between federal and state )

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11
Q

Managed care

A

plans that provide health care in return for preset scheduled payments and coordinated care

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12
Q

workers comp

A

protects loss of wage and cost of medical care in result from an occupational accident or disease as long at the employee is not proven negligent

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13
Q

Health maintenance organization (HMO)

A
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14
Q

Patient- centered medical homes (PCMH)

A
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15
Q

Preferred provider organization ( PPO)

A
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16
Q

Capitation (partial or full)

A
17
Q

Global budget

A
18
Q

pay for preformance

A