Health in four nations

Question 1

how much does US spend of GDP on health care

Answer 1

17.1%

Question 2

four mechanisms for reimbursement

Answer 2

out of pocket

individual private insurance

employment based private insurance (germany)

government financing (uk and canada)

japan lies between 3 and 4

Question 3

germany

Answer 3

1st nation to enact compulsory health insurance legislation

Question 4

howmuch of GDP germany spend on health care

Answer 4

11.3%

Question 5

germany sick funds

Answer 5

90 % os citizens covered through mandatory sick funds. May not exclude anyone based on illness

Question 6

Germany employement

Answer 6

technically coverage is employment based

Question 7

germany physicians

Answer 7

separation between ambulatory and inpatient MDS

51% are generalists

Question 8

germany cost controls

Answer 8

body of health care providers, sickness funds, employers

establish guidelines for MD fees, hospital rates, and drug/ supply prices
cap to MD reimbursement

Question 9

Canadia

Answer 9

tax financed public single payer health care system

prohibits private health insurance for coverage of services provided by govt funded insurance

Question 10

who pays providers in canada

Answer 10

each provinces govt is the payer.

Question 11

canada medical care

Answer 11

50 % generalists.
some high tech procedures are available at limited, regional locations

waiting time for elective procedures is longer

Question 12

reimbursement in canada

Answer 12

MDS reimbursed by fee for service. caps on reimbursement

hospitals usually private and non private

Question 13

uk

Answer 13

National health service
majority tax funded
allows private insurance, but cant use private and public health insurance at the same time

Question 14

uk medical care

Answer 14

must have a general practitioner and need to be referred for a specialist
paid for performance

Question 15

uk cost controls

Answer 15

govt single payer can limit budgets and mode of payment

not a lot of MRI scanners

Question 16

Japan

Answer 16

spends 10.3 % of GDP ON health care

Question 17

how to be covered in japan

Answer 17

if employer has >700 employees

operate self inured plans specific to an employer

if employers <700
enroll in single national health insurance plan operated by national government

community based insurance plan

Question 18

japan medical care

Answer 18

no restrictions on choice of hospital or MD

Question 19

LTC funding in japan

Answer 19

funded by general tax revenues and earmarked income tax

Question 20

japan reimbursement

Answer 20

previously FFS for MDs and hospitals

strict govt regulation of fees

physicians can sell rx