Primary source of health insurance coverages for americans

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Reference no: EM133990847

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: EM133990847

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