Define the role of federal government in us health care

Reference no: EM133658513

Discussion

Primary Source of health insurance coverages for americans
Define the Role of federal government in US health care
Healthcare market - what is required for it to be free
What are the reasons for creating Medicare
Healthcare in the US provides certain benefits. What are they
DRG - what is it? Definition
DRG: implication (impact) to patients who stay longer for care?
Fee for service. Know what it is? How it works
Know how to best determine health status of a individual (predictor)
What is social determinants of personal health? What does it include?
What is Flexner Report? Purpose? Result of the report
ACA. Know lifetime cap on health costs and benefits.
ACA - the purpose of creating an ACA? What are the goals of ACA ?
ACA - how is ACA financed?
Review financing model for ACA
ACA - essential health benefits required
Know definitions
Beneficence
Autonomy
Maleficence
Non-maleficence
What is disparity in healthcare? What does it mean
How does US determine good health outcome of a community
How does predisposing factors (smoking / alcohol) influence price for healthcare coverage
How are nursing care services paid?
What does the "well carry the sick or unwell" mean as it relates to healthcare costs?
What is P4P? How does it work particularly in the payout to providers (doctors)? Incentives?
Professionals that are included as a care team in medical home are
Define third party payers and who are included
Know the effects of high deductible in relation to cost and coverage/benefits
What is a deductible?
What is a coo-payment
What is co-insurance
Define out-of-pocket costs and its influence to consumers
List of reimbursements for patient outcomes
Reimbursements would be based on what factors
What is the purpose of quality and safety program in the hospital and monitoring?
Characterization of patient cared Medical Homes as it relates to costs (i.e, operational)
Define coordinated care for a patient with chronic illness? Know who may be involved in providing care (i.e, COPD, CHF, CKD)
Define controlled market? Examples of controlled market
Define and determine who can be covered under each plan
Gold plan
Catastrophic plan
HMO plan
Platimum plan

Reference no: EM133658513

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