test 1 Flashcards

1
Q

first period diseases

A

acute infectious - malaria and yellow fever

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2
Q

first period discoveries

A

x-ray, thermometer, stethoscope, bp cuff

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3
Q

second period diseases

A

pneomia, tb

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4
Q

second period discoveries

A

insulin, FDC/FDA, penicillin, EKG

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5
Q

blue cross

A

hospital

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6
Q

blue sheild

A

doctors

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7
Q

how many americans covered by insurance in second period

A

20%

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8
Q

third period inovations

A

use of penicillin, CT, MRI

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9
Q

fourth period 1981

A

HIV/TB, HIPPA

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10
Q

HITECH

A

stimulus bill, increase electronic records

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11
Q

DRG

A

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

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12
Q

HIPPA

A
  1. protects coverage for workers when they lose their job

2. electronic health care safety

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13
Q

headquarters CMS

A

baltimore and DC

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14
Q

admin CMS

A

seema verma

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15
Q

Medicaid financed

A

per capita income, federal gov pays percentage, cant be greater than 83% or less than 50%

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16
Q

who is eligible for medicaid

A

needed, disabled

17
Q

main medicaid beneficiaries

A

children under 19

18
Q

main medicaid funding

A

disabled

19
Q

medicare finances

A

federally run, 60 million americans

20
Q

eligibility medicare

A

65, end stage renal disease (permanent kidney failure) and ALS, disability for more than 24 months

21
Q

Part A

A

hospital insurance

22
Q

part B

A

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

23
Q

part d

A

prescription drug plan, made possible through MMA,

24
Q

vaccines in part b

A

pneumococcal, hep b, flu

25
Q

main beneficiaries medicare

A

over 65

26
Q

most funding in medicare goes to

A

hospital services, then medicare advantage

27
Q

percent medicare spent on prescription drugs

A

10

28
Q

dual eligible

A

dont enroll in medicare- automatically enroll them

29
Q

excluded category of drugs

A

anorexia, infertility, hair growth, erectile dysfunction, OTC

30
Q

CHIP

A

9 million childeren, too high to qualify for medicaid but cant afford private coverage,

31
Q

CHIP name in AL

A

All Kids- BCBSAL to provide services

32
Q

6 protected classes in part D

A

immunosuppressant, antidepressent, antipsychotic, anticonvulsant, antiretroviral, anticancer

33
Q

tiers of drugs

A

teir 1- generic 2- nonpreffered g 3- preferred brand name 4- non preferred 5- specialty

34
Q

ratio of techs

A

3:1

35
Q

NDC

A

5-4-2, manuf- drug- package type

36
Q

dea number

A

first letter- prescriber second letter- last name CALC1,3,5 + (CALC2,4,6 )x2 = digit dea