Module 1 Outcomes 1-4 Flashcards
Funding provided based on the budget of the previous year. Still relatively prevalent across Canada
Block funding
Funding based on the costs of services and equipment
Line by line funding
Funding based on the types of cases treated and the volume of clients seen. Also called the case mix approach
Service-based funding
List the four federal financing transfer models that can be used to transfer money for healthcare from the federal government to the provinces and territories.
- Block funding 2. Line by line funding 3. Service-based funding/case mix approach 4. Population-based funding model/capitated funding
Funding based on demographics; also called capitated funding
Population-based funding model/capitated funding
List some cost reduction strategies used by hospitals to reduce their overall costs.
- Decreased length of stay 2. Rationalization and mergers
Health care services whose finances are managed by the government or a government agency for the good of the entire population
Publicly funded health care
Where does the money for publicly funded health care services come from?
Canadians pay through the taxes they pay to all levels of government. Provinces like Ontario and British Columbia also pay health care premiums
T or F. The funding and delivery of Canada’s health care are accompished through public businesses and organizations
The funding and delivery of Canada’s health care are accompished through public and private (for-profit and non-profit) businesses and organizations.
________ refers to how health care is paid for
Funding
__________ refers to how health care services are managed, structured, and distributed.
Delivery
T or F. All medically necessary physician and hospital services are publicly funded but are for the most part delivered by private for-profit/not-for-profit organizations
True
Doctors operate as ______ businesses because they deliver health services and are paid by the government using varying payment formulas.
private, for-profit
Hospitals are ______ organizations while hospital services like food services, maintenance, cleaning, and security are ______ organizations.
Hospitals are not-for-profit organizations while hospital services like food services, maintenance, cleaning, and security are for-profit businesses.
The hospital pays for its for-profit services with funds from ________.
The hospital pays for its for-profit services with funds from the government.
T or F. Canada’s public health insurance funded, for federal, provincial, territorial, and municipal governments through personal and corporate taxes by worker’s compensation boards
True
CIHI estimates that __% of health care spending comes out of consumer pockets/private insurance while __% is covered by public health plans.
30%, 70%
List the four main transfer models through which federal health transfer payments are distributed.
- Territorial Formula Financing (TFF)
- Equalization payments
- Canada Health and 4. Social Transfer (CHT/CST)
TFF-EHS
The federal govt uses the _____ to calculate money given to the territorial govts for piblic services.
TFF: Territorial Formula Financing
Money from Territorial Formula Financing is alloted to territorial governments because of ______, ______, and ______.
- Unique geography
- Population distribution
- High cost of deliveriong health care/other public services
Provinces with _____ money receive _______ payments from the government to allow them to offer residents services like those available to richer jurisdictions.
Provinces with less money receive equalization payments from the government to allow them to offer residents services like those available to richer jurisdictions.
In equalization payments, needy jurisdictions receive the difference between its _______ and the ________.
In equalization payments, needy jurisdictions receive the difference between its fiscal capacity and the 10-province standard.
Refers to the province’s ability to generate income
Fiscal capacity
Refers to the national average ability to generate income
10-province standard
Equalization payment subsidies are distributed in __ payments over the fiscal year.
12
T or F. Nunavut, Yukon, and the Northwest Territories are excluded from equalization payments.
True. These are excluded because the federal government deals with their fiscal needs through the TFF.
The Canada Health Transfer comes from the federal governments and is transfered to provincial and territorial governments. It consists of ____ and ____.
Tax points and cash
T or F. CHT money doesn’t have to be used in health care.
False. Money to be used on health care and is subject to other stipulations.
________ provides funding to the provinces and territories through cash and tax points for social programs, child care, postsecondary education, etc.
The Canada Social Transfer
_______ are agreements made regarding health care funding among provinces, territories, and the federal government.
Accords
