quiz 2 Flashcards

1
Q

What is universal health care

A

universal health care is health coverage for all citizens of a nation

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

which countries have free universal health care

A

South America, All of europe and asia, australia, canada, mexico

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

Which countries do not have universal healthcare

A

US, Africa, Southeast Asia

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

Socialized medicine principles

A

insurance companies must accept everyone

insurance companies are non-profit

organizations compete on quality of care outcomes

standard fixed prices

all citizens are mandated to buy insurance

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

what is another name fore the affordable care act

A

obamacare

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

when was ACA signed into law and when was it fully enacted

A

2010

2014

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

Summary of ACA

A

residents required to have healthcare coverage

tax credits and subsidies based on income levels

purchased through insurance marketplace

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

what is a skinny plan

A

insurance for if something really bad happened but not smaller things

cheap, but coverage is limited

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

changes to the ACA

A

individual mandate was eliminated

states allowed to add work requirements to medicaid

access to skinny plans

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

summarize the ACA lawsuit

A

2020-2021
California v Texas
Texas said the plan was unconstritutional

plan was upheld– Cali won

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

what are young invincibles

A

health 20+ age people that are not buying insurance

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

what are the three waves of the volume-to-value revolution

A

patient-centered care
consumer engagement
the science of prevention

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

triple aim of consumer centered care

A

improve the expereince of the individual

improve affordability

improve the health of the population

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

what are the 4 modes of paying for health care

A

out of pocket

private insurance

employment-based insurance

government financing

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

describe out of pocket payment

A

fee for service

direct purchase of health care

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

describe private insurance

A

third party not involved in payments

17
Q

what is a premium

A

the amount paid to insurance carrier monthly

18
Q

what is a deductible

A

the amount of out of pocket payment required prior to insurance coverage

19
Q

what is a co-pay

A

fixed amount by insured person for each service

20
Q

what is co-insurance

A

percentage of charges a member owes for covered services

21
Q

what is out of pocket maximum

A

the most the member can pay out of pocket for services

22
Q

pros of high deductable plan

A

low premiums

save money if rarely use helath care

eligble for health savings account

23
Q

cons of high deductable plans

A

high out of pocket costs

can lead to individuas not seeking care

expesive for those with chronic illness

24
Q

what are short term health insurance plans

A

covers gap while between plans or jobs

no coverage for pre-existing conditions

can cancel at any time

25
Q

who is eligible for medicare

A

over 65

under 65 if have social security disability benefits

meet requirements for end stage renal disease or ALS

26
Q

Medicare Parts

A

Part A- hospital inpatient stay
Part B- outpatient insurance
Part C- managed Medicare
Part D- Drugs