Week 1 Flashcards
t/f
Americans are automatically covered by healthcare
false
The US has a ____ ____ system whereas most first world countries have a ____ ____ system
multi payer
single payer
Common problems with the multi payer systems include
little coordination or standardization
inefficiencies (duplication, overlap, waste)
America leads world in medical training, technology, and research. We spend the most, but our outcomes are middling.
yep!
Medicare covers
elderly and certain disabled people
medicaid and CHIP cover
Poor people and children
CHIP stands for
Children’s health insurance program.
The following describes the _____
Intended to expand access to insurance Increase consumer protections Emphasize prevention and wellness Improve quality and system performance Expand the health care workforce Curb rising health care costs
Affordable care act
The medical system in the US is very _____
political
Global influences, social values and culture, Political climate, economic conditions, technology, physical environment all effect the _____
Health care system
No central agency governs the system.
Access to health care services is selectively based on insurance coverage.
Health care is delivered under imperfect market conditions.
Third-party insurers act as intermediaries between the financing and delivery functions.
The existence of multiple payers makes the system cumbersome.
yep!
The balance of power among players prevents any single entity from dominating the system.
Legal risks influence practice behavior of physicians.
Development of new technology creates an automatic demand for its use.
New service settings have evolved along a continuum.
Quality is not accepted as an unachievable goal.
yep!
Uninsured Americans access to healthcare?
Mostly just ER
These are qualities of _____
Difficult for providers to track various health plans.
Providers must hire claims processors.
Payments can be denied for not following requirements, which necessitates re-billing.
Providers must engage in collection efforts.
Government programs have complex regulations.
multi payer system
Defensive medicine can
hurt outcomes.
