Test 2 Flashcards
Describe fee for service briefly
you pay a fee for each service
Give examples of fee for service
a massage, buying groceries, UNR courses
Who is at risk for a high expense using fee for service?
the consumer
why is fee for service dying?
incentives increase costs and consumers are not being informed
the triple aim consists of what?
cost, quality, access
explain cost shifting in the case of car insurnace
an uninsured motorist hits another, the insured party pays more
preferred proivders organization is a __________ care organization
managed
health maintenance organizations falls under ___________
capitation
describe capitatoin
per head membership
capitation requires members to _______ a ______
pay, fee
bundling is also known as
capitation
bundling is mainly about _____ of care
episodes
describe examples of bundling care
ob care, acute asthma
define bundling
providers paid on the basis of expected costs for defined episodes of care
hip replacements are an _______ of _____
episode, care