Test 2 Flashcards

1
Q

Describe fee for service briefly

A

you pay a fee for each service

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2
Q

Give examples of fee for service

A

a massage, buying groceries, UNR courses

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3
Q

Who is at risk for a high expense using fee for service?

A

the consumer

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4
Q

why is fee for service dying?

A

incentives increase costs and consumers are not being informed

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5
Q

the triple aim consists of what?

A

cost, quality, access

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6
Q

explain cost shifting in the case of car insurnace

A

an uninsured motorist hits another, the insured party pays more

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7
Q

preferred proivders organization is a __________ care organization

A

managed

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8
Q

health maintenance organizations falls under ___________

A

capitation

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9
Q

describe capitatoin

A

per head membership

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10
Q

capitation requires members to _______ a ______

A

pay, fee

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11
Q

bundling is also known as

A

capitation

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12
Q

bundling is mainly about _____ of care

A

episodes

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13
Q

describe examples of bundling care

A

ob care, acute asthma

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14
Q

define bundling

A

providers paid on the basis of expected costs for defined episodes of care

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15
Q

hip replacements are an _______ of _____

A

episode, care

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16
Q

who gets money in episodes of care?

A

physicians and hospoitals keep money

17
Q

is quality good for episodes of care?

A

yes

18
Q

bundling could mean the _______ of fee for service

A

opposite

19
Q

what is value based care?

A

patients want improved quality, providers want higher patient satisfaction