Healthcare financing Flashcards

1
Q

What are the costs involved in health care

A
caregivers
equipment
supplies
location
support services
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2
Q

What are the types of payment for healthcare

A

out of pocket
individual private insurance
employer-based priveate insurance
gov. financing

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3
Q

Who is majority of population covered by?

A

employment based private insurance

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4
Q

Who has largest expidenture of all payment types?

A

Government financing

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5
Q

third party payment

A

individual private insurance

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6
Q

Began as hospital-based plans to “Attract: customers

A

Employment based private insurance

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7
Q

financing for poor and elderly unable to access employer-based health insurance. from taxpayers

A

government financing.

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8
Q

social insurance vs. public assistance

A

medicare

medicaid

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9
Q

Hospital insurance plan financed through social security

A

Medicare part A (inpatient)

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10
Q

Physician services, financed by federal taxes and monthly beneficiary premiums

A

Medicare part B

outpatient

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11
Q

state-run program for low-income funded by federal and state taxes

A

medicaid

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12
Q

Prescription drug coverage

A

Medicare Part D

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13
Q

Companion program to medicare covering children

A

CHIP

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14
Q

What are the burdens of healthcare financing

A

Progressive
Regressive
Proportional

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15
Q

Rising percentage of income as income increases

A

Progressive payment

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16
Q

Ratio of payment to income same for all classes

A

Proportional payment

17
Q

Most common US insurance.

occurs with high levels of payment for low-income families. falling percentage as income increases

A

Regressive payment

18
Q

Ability of person to obtain health care services when needed

19
Q

What is goal of ACA

A

to have access in a fair way so providers don’t have to shift cost

20
Q

What are the dimensions of access?

A
availability
accessibility
Accommodation
Affordability
Acceptability
21
Q

What are the vulnerable populations?

A

predisposed
Enabled
Needs

22
Q

Who is more likely to delay or go without care due to cost?

A

uninsured adults

23
Q

Know ppl likely to be uninsured

A

those predisposed and other common sense ones

24
Q

What are some barriers to accessing needed medical treatment if you have insurance

A

Premiums and out of pocket payments

25
Characteristics of market justice
assumes free market supply driven by demand based on ability to pay
26
Characteristic of social justice
a social resource require government role driven by planning equal access
27
Consumer behavior leading to higher utilization of health care services when services are covered by insurance
Moral hazard
28
higher burden of illness, injury, mortality experienced by one population group relative to another
health disparity
29
differences between health care coverage, access to care, and quality of care
health care disparity
30
has uninsurance rates increased or decreased since 2010?
decreased