Midterm Flashcards
HRSA
Health Resources and Services Administration- Provides health education resources and provides student financial support
According to the CDC, approximately what percentage of premature deaths in the U.S. population can be attributed to inadequate access to medical care?
10%
Wellness Model
Intervention
Adequate public health and social services
Understanding risk factors
Acute healthcare
Diagnose and treat at onset
How many physicians are practicing in US?
800,000
40/60 ratio of primary care to specialists
too many specialists, demand high, pay better and development of medical tech allows for it
Cost of Healthcare Administration
Estimated 35-40%
RVU
reflect resource input
Medicare Part A
income of wage earners is taxed, provides hospital insurance
Medicare Part B
Supplemental medical insurance, covers physician services and outpatient care
Medicare Part C
Medicare advantage plans
Medicare Part D
Prescription drug coverage with $310 deductible and copay, dependent on drug costs
DRG
Diagnosis related groups, medicare would pay upfront the cost for a specific diagnosis and no more (incentivizes hospitals to increase efficiency and shorten hospital patients stays)
Bundled Payments
Similar to DRG, physician and hospital receive fixed amount to take care of an episode of care or for a time period of care
ERISA
Employee Retirement Income Security Act
Passed in 1974
intended to prevent unfair denial of pensions to employees
prohibits states from regulating employee benefit programs
HIPPA
Health Insurance Portability And Accountability Act 1996
Bill that sought to make insurance more affordable for the self-employed, provides added security measures to maintain confidentiality of medical records
5 A’s
Assess, Advise, Agree, Assist ,Arrange Follow Up
Core Functions of Public Health
Assessment
Policy Development
Assurance
Assessment, Policy Development, Assurance
Cost-Plus System
Hospitals reimbursed based on services delivered, after care is given
6 major issues and Concerns Facing the Health Sector
a. Improving Quality
b. Improving Access and Coverage
c. Slowing the Growth of Health Care Costs
d. Encouraging Healthy Behavior
e. Improving the Public Health System
f. Improving the Coordination, Transparency, and Accountability of Local Systems of Care
Chronic Care Model
care organized proactive and focused on keeping people as healthy as possible, instead of performing reactively when people are injured or sick
Social ecological model
behavior change models that integrate behavioral science with clinical and public health approaches by redefining what the targets of successful health interventions need to be in the context of individual and of social factors.
Targeted prevention
identifying and providing medical interventions of people at higher risk
Global budget
a lump sum, prospective spending plan
Health Maintenance Organization
a managed care company that organizes and provides health care for its enrollees for a fixed prepaid premium
