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

A

access

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
Q

Characteristics of market justice

A

assumes free market
supply driven by demand
based on ability to pay

26
Q

Characteristic of social justice

A

a social resource
require government role
driven by planning
equal access

27
Q

Consumer behavior leading to higher utilization of health care services when services are covered by insurance

A

Moral hazard

28
Q

higher burden of illness, injury, mortality experienced by one population group relative to another

A

health disparity

29
Q

differences between health care coverage, access to care, and quality of care

A

health care disparity

30
Q

has uninsurance rates increased or decreased since 2010?

A

decreased