lecture 16 Flashcards

1
Q

PCORI

A

stands for Patient Centered Outcome Research

  • goal: patient centered care
  • conduct research on relative health outcomes,clinical effectiveness and appropriateness
  • medicare may consider research, but not required
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2
Q

What were Obama goals with the ACA?

A

get insurance coverage

  • don’t disrupt the system
  • -> let those who are happy stay in the system
  • improve quality
  • lower costs
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3
Q

what are some of the essential benefits covered under the ACA? How many in total?

A

10 in total

  1. outpatient care
  2. emergency services
  3. Maternity and newborn care
  4. prescription drugs
  5. laboratory services
  6. preventative services
  7. Mental health services and addiction treatment
  8. Laboratory services
  9. Pediatric services
  10. Rehab treatment
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4
Q

How does the employer mandate work?

A

> 200: must provide insurance to employees
50-200: Pay or Play
<50: smaller businesses get help providing coverage for employees
–> provide tax credits
–> Exchange (purchasing pool to buy health insurance)

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