Health Care Types and Statistics Flashcards
When did employer paid health insurance begin?
During WW2 when wages were frozen
In what year did Medicare and Medicaid begin?
1966
Medicare reform in the form of diagnosis-related groups began in ____.
1987
Managed care reform began during what period?
the 1990s
The development of managed care in the form of HMOs transferred the risk to who?
providers mainly PCPs
The rise of CDHPs transfers the risk to who?
the patients
When was the new healthcare reform The Patient Protection and Affordable Care Act (PPACA) passed?
in 2010
The new healthcare reform changed payment for procedure to payment for ______.
outcomes
There was a __% per year rate of increase in national health care costs from 1999 through 2014.
17
Which country has the highest per capita total current health care expenditure?
the United States
What type of service has the highest distribution of national health expenditures?
hospital care
In 2012 what health plan had the highest enrollment rate for covered workers in the US?
PPO
The percentage of what health plan is steadily growing in its enrollment?
high deductible health plan
What is a major concern for this country in regards to healthcare costs and social security funding with each passing year?
the baby boomers
True or False
The rate of nonelderly disabled (under the age of 65) enrolled in Medicare continues to rise with each passing year
True
True or False
Medicare spending is projected to increase with each year
True
True or False
The number of Medicare beneficiaries and the number of workers per beneficiary is projected to continue to increase
False
Medicare yes, however the number of workers per beneficiary is projected to decrease over time
What percent of Medicare beneficiaries have an annual income less than $22,500?
50%
What percent of Medicare beneficiaries have an annual income less than $14,000?
25%
What percent of Medicare beneficiaries have an annual income less than $88,900?
5%
Who is considered a primary care provider? Give some examples…
Any health care provider who provides a first point of contact
- Family/General Practice
- Internal Medicine
- Pediatrics
- OB/GYN
Who is considered a secondary care provider? Give some examples…
Care provided by providers who are generally not the first point of contact
- Cardiologists
- Orthopedic Surgeons
- PTs
- OTs
Who is considered a tertiary care provider? Give some examples…
Specialized consultative care, usually from primary or secondary medical care staff, usually in an inpatient center
- Hospital acute care
- ICU
- Surgery
Describe primary health care
Preventing a target condition in a susceptible or potentially susceptible population through such specific measures as general health promotion efforts
Describe secondary health care
Goals are aimed at decreasing duration of illness, severity of disease, and number of sequelae (abnormalities following or resulting from disease, injury, or treatment) through early diagnosis and prompt intervention
Describe tertiary health care
Focus is limiting the degree of disability and promoting rehabilitation and restoration of function in patients with chronic and irreversible diseases
What is the “triple” aim of the new health care reform?
- better health for populations
- better care for individuals
- cost containment
What is the goal of the triple aim?
Align providers, payors, and patients
**Very rarely, if ever, have these three groups been aligned in the past
