How do US healthcare system operates? Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

Quaternary Care

A

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)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Chronic illness care

A

includes services to great long-term illness (the continuum of care)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Local Government Facilities

A

provide some healthcare facilities to the members of their communities (government and private industry healthcare facilities)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Military Treatment Facilities

A

serve active and retired military personnel and their families (government and private industries, healthcare facilities)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Fee-for-service Basis

A

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)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

For-Profit Healthcare Organizations

A

charge for their services, pay taxes,?and their income from services partially pays expenses and partially is profit (government and private industry healthcare facilities)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Not-for-Profit Healthcare Organizations

A

put profit back into the organization for future use (government and private industry healthcare facilities)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Tertiary Care

A

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)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Primary Care

A

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)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

MACRA

A

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)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Revenue

A

Income from services (Government and Private Industry Healthcare Facilities)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Federal Government Healthcare Facilities

A

Typically focus on public health concerns (Government and private industry healthcare facilities)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

State Government Healthcare Facilities

A

Strategically located in the states to provide a foundation of care for the citizens of that states. (Government and private industry healthcare facilities)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

HITECH

A

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)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Regulation

A

Rules about how laws are to be used. (Compliance)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Secondary Care

A

The type of service where patients needs require further expertise and reliance on secondary care professionals. (The continuum of care)

17
Q

Preventive Care

A

Includes services that detect and prevent medical problems ( The continuum of care)

18
Q

Compliance plans

A

plans to keep all the team and its resources in compliance with current laws and regulations (Compliance)

19
Q

Healthcare providers

A

healthcare professionals that provide healthcare services and all are credentialed to bill their services (Health insurance and payments)

20
Q

Continuum of Care

A

The range of healthcare services and service location types that are offered in the industry. (The continuum of care)

21
Q

PPACA

A

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)

22
Q

LAW

A

A mandatory rile created by a government agency (compliance)

23
Q

Claims

A

A request for payment to an insurance company to cover medical service costs. ( health insurance and payments)

24
Q

Capitation

A

A provider of healthcare services is paid to care for a roster of patient for a period of time. (Health insurance and payments.)

25
Q

Health Insurance

A

Alleviates the cost of medical care and services for individual patients. (Health insurance and payments)

26
Q

Acute Care

A

Includes services to treat short but severe illness or injury ( the continuum of care)