test 1 Flashcards
first period diseases
acute infectious - malaria and yellow fever
first period discoveries
x-ray, thermometer, stethoscope, bp cuff
second period diseases
pneomia, tb
second period discoveries
insulin, FDC/FDA, penicillin, EKG
blue cross
hospital
blue sheild
doctors
how many americans covered by insurance in second period
20%
third period inovations
use of penicillin, CT, MRI
fourth period 1981
HIV/TB, HIPPA
HITECH
stimulus bill, increase electronic records
DRG
diagnosis related groups, most important in financing healthcare in America, expansion of home healthcare, hospitals given an amount of money for expected length of stay for a certain diagnosis
HIPPA
- protects coverage for workers when they lose their job
2. electronic health care safety
headquarters CMS
baltimore and DC
admin CMS
seema verma
Medicaid financed
per capita income, federal gov pays percentage, cant be greater than 83% or less than 50%
who is eligible for medicaid
needed, disabled
main medicaid beneficiaries
children under 19
main medicaid funding
disabled
medicare finances
federally run, 60 million americans
eligibility medicare
65, end stage renal disease (permanent kidney failure) and ALS, disability for more than 24 months
Part A
hospital insurance
part B
vision, hearing, dental, provides part a and b, still need part b premium, medicare contracts and pays insurance companies to admin these plans, provides prescription drug coverage through MA
part d
prescription drug plan, made possible through MMA,
vaccines in part b
pneumococcal, hep b, flu
main beneficiaries medicare
over 65
most funding in medicare goes to
hospital services, then medicare advantage
percent medicare spent on prescription drugs
10
dual eligible
dont enroll in medicare- automatically enroll them
excluded category of drugs
anorexia, infertility, hair growth, erectile dysfunction, OTC
CHIP
9 million childeren, too high to qualify for medicaid but cant afford private coverage,
CHIP name in AL
All Kids- BCBSAL to provide services
6 protected classes in part D
immunosuppressant, antidepressent, antipsychotic, anticonvulsant, antiretroviral, anticancer
tiers of drugs
teir 1- generic 2- nonpreffered g 3- preferred brand name 4- non preferred 5- specialty
ratio of techs
3:1
NDC
5-4-2, manuf- drug- package type
dea number
first letter- prescriber second letter- last name CALC1,3,5 + (CALC2,4,6 )x2 = digit dea
