week 5 Flashcards
what is the difference between hospice and palliative care?
Hospice must be indicated by a Terminal illness less than six months to live and does not extend their lives
Palliative care is along side curative treatment and can begin at time of diagnosis
private health systems
Profit versus nonprofit
Outside of governmental control
Influenced by business management
Economics central factor
Proactive decisions
Focus on individual curative measures
Example – OB/GYN office
public health systems
Authority in states
Influenced by social and political theory
Slow decisions
voting shifts, term limits, decide efficiency
Addressed at federal state and local levels
Focus on population health, disease prevention, health promotion, and rehab
what does the legislative branch do in the policy process?
Makes laws
Identifies problems
what does the executive branch do in the policy process?
vetoes or passes laws
Regulates policy
What’s the judicial branch do in the policy process?
Decides if the laws are constitutional
Advocacy
Community focus
Act of supporting a cause or proposal
lobbying
Promotes, or secures the passage of legislation by influencing public officials
all lobbying is advocacy….
But not all advocacy is lobbying
affordable care act
Obama care
Medicaid expansion
Emphasis on preventative care and ensure regulations
how can the affordable care act be applied to people?
Employer
healthcare insurance marketplace – monitor private insurance companies
Government – Medicaid
What are the changes made to preventative healthcare as a result of ACA?
does not cover yearly and lifetime limits
cannot deny coverage for adults/kids with chronic illnesses
must include preventative and contraceptive care
Cannot drop sick clients
Cannot charge males or females differently
Covers dependent kids until 26 years old
Who is eligible for Medicare?
Greater than 65 years old and disabled
No income requirement
Who is eligible for Medicaid?
Aids Low income, below poverty line , “blameless” and limited resources
State-based insurance
Hill Burton act
Build hospitals where they were needed, and where they would be sustainable through construction grants and loans
COBRA
Consolidated omnibus budget, reconciliation act
Gives workers and their families who lose their health benefits, the right to choose to continue group health benefits provided by their health plan for limited periods of time
EMTALA
emergency medical treatment and labor act
Requires hospitals, with emergency departments to provide medical screening examinations to anyone who comes through the ED
Prohibits hospitals & ED’s from refusing to examine or treat
philanthropic healthcare system
Specific disorders via funding mechanisms
Private donations, finance research
Example– planned parenthood
how is Medicare funded?
100% federally funded
Does Medicare cover dental or vision?
No, Medicaid does
medicare part A
hospital
Facilities
Home health
medicare part B
Elective purchase
Outpatient
Equipment
Labs
Ambulance
medicare part C
Advantage plan
HMO/PPO
Also, includes parts A and B
Drug prescription
Medicare part D
prescription drug coverage
