How do US healthcare system operates? Flashcards
Quaternary Care
The type of service for volunteers in medical research and patients who aren’t responsible to tertiary care and is innovative, research-driven and experimental (The continuum of care)
Chronic illness care
includes services to great long-term illness (the continuum of care)
Local Government Facilities
provide some healthcare facilities to the members of their communities (government and private industry healthcare facilities)
Military Treatment Facilities
serve active and retired military personnel and their families (government and private industries, healthcare facilities)
Fee-for-service Basis
each service a provider performs is billed to the insurance for a specific fee, and the insurance pays for each service individually (health insurance and payments)
For-Profit Healthcare Organizations
charge for their services, pay taxes,?and their income from services partially pays expenses and partially is profit (government and private industry healthcare facilities)
Not-for-Profit Healthcare Organizations
put profit back into the organization for future use (government and private industry healthcare facilities)
Tertiary Care
The type of service where the patient is often in dire need of expert medical care and may not survive without the skill and resources that tertiary care offers. ( The continuum of care)
Primary Care
The first and most basic level of services for injury or illness, often serving as the entry point for patients into the healthcare system. (The continuum of care)
MACRA
The Medicare Access & CHIP (Children’s Health Insurance Program) Reauthorization Act of 2015 (MACRA) provides incentives for quality of care over quantity of care and a reasonably priced comprehensive healthcare plan for all children of low and moderate-income families. (Compliance)
Revenue
Income from services (Government and Private Industry Healthcare Facilities)
Federal Government Healthcare Facilities
Typically focus on public health concerns (Government and private industry healthcare facilities)
State Government Healthcare Facilities
Strategically located in the states to provide a foundation of care for the citizens of that states. (Government and private industry healthcare facilities)
HITECH
The Health Information Technology for Economic and Clinical Health (HITECH) Act reinforces issues of privacy and security of health information and promotes the use of electronic technology in healthcare (compliance)
Regulation
Rules about how laws are to be used. (Compliance)
Secondary Care
The type of service where patients needs require further expertise and reliance on secondary care professionals. (The continuum of care)
Preventive Care
Includes services that detect and prevent medical problems ( The continuum of care)
Compliance plans
plans to keep all the team and its resources in compliance with current laws and regulations (Compliance)
Healthcare providers
healthcare professionals that provide healthcare services and all are credentialed to bill their services (Health insurance and payments)
Continuum of Care
The range of healthcare services and service location types that are offered in the industry. (The continuum of care)
PPACA
The patient protection and affordable care Act, also called the affordable care act (ACA) addresses access to healthcare, creating policies and marketplaces to purchase health insurance (compliance)
LAW
A mandatory rile created by a government agency (compliance)
Claims
A request for payment to an insurance company to cover medical service costs. ( health insurance and payments)
Capitation
A provider of healthcare services is paid to care for a roster of patient for a period of time. (Health insurance and payments.)
Health Insurance
Alleviates the cost of medical care and services for individual patients. (Health insurance and payments)
Acute Care
Includes services to treat short but severe illness or injury ( the continuum of care)
