Define the role of federal government in us health care

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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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