Shared Flashcard Set

Details

Ch 13 - US Healthcare Systems
Army-Baylor 2015
22
Health Care
Graduate
08/23/2013

Additional Health Care Flashcards

 


 

Cards

Term

 

5 Features of US Health Policy

Definition

GPPPS

  1. Government as Subsidiary to the Private Sector
  2. Fragmented, Incremental, and Piecemeal Reform
  3. Pluralistic and Interest Group Politics
  4. Impact of Presidential Leadership
  5. Decentralized Role of the States
Term

 

Describe the Public Policymaking Model

Definition
[image]
Term

 

Describe the different forms of Health Policy

 

(How does each branch affect policy?)

Definition
[image]
Term

 

Regulatory Policy

Definition

 

call on government to prescribe and control the behavior of a particular target group by monitoring the groups and imposing sanctions if it fails to comply.

Term

 

Allocative Policy

Definition

 

the direct provision of income, services, or goods to certain groups of individuals or institutions

 

Destributive or REDestributive

Term

 

3 components of the

 

Policy Making Model

Definition
  1. formulation
  2. implementation
  3. modification
Term

 

 

What are the 4 Critical Policy Issues?

Definition

 

Access to Care
Cost of Care
Quality of Care
Research and Policy Development
Term

 

Where are the (5) main Access Concerns?

Definition

MERLA

 

Access and the Minorities

Access and the Elderly

Access in Rural Areas

Access and Low Income

Access and Persons with AIDS

Term

 

What are the 3 branches of Government?

Definition

 

 

Executive (President)

Legislative (Congress)

Judicial (Supreme Court)

Term

 

 

How did the ACA pass?

Definition

 

        Kept details from public to avoid criticism

        Democratic congress

        Insurance Buy-In

        Economic Downturn

 

Term

 

What 2 states set precedents for

the ACA to pass in 2010?

Definition

 

 

Oregon and Massahusets

Term

 

Define Health Policy

Definition

 

Authoritative decision made

within government regarding healthcare

Term

 

What authority does the legislative branch have?

Definition

 

Enacts laws

Creates and funds health policy

Balances health policy with other policy demands

Term

 

What authority does Executive branch have?

Definition

 

Implement Laws

Approve/Veto legislation

Propose legislation

Term

 

Judicial Branch health policy authority

Definition

 

Interprets laws

Creates body of case law

Preserves rights of citizens

Resolves disputes

Term

 

3 Precedants of Reform

from Oregon's Health Policy

Definition

 

SEE

 

State coverage for pre-existing conditions

Employer Mandate

Expansion of Medicaid

Term

 

4 Precedents of Reform

from Massachusett's Health Policy

Definition

 

EPIC

 

Employer Mandate

Premium Subsidies for poor

Individual Mandate

Central Exchange for health insurance

Term

 

3 Dilemmas of Healthcare Reform

 

Definition

UPC

 

Universal Coverage (requires single payer)

Pre-existing conditions (underwriting w/o risk rating)

Cost (reform is unstable w/o cost control)

Term

 

Explain

    Health policy as a by-product of social policy

Definition

 

Insurance tied to employers as a result of wage-freezes during WWII and a Supreme Court ruling that employee benefits, including health insurance, could be legitimately included in the collective bargaining process

Term

 

Jurisdictional fragmentation

Definition

 

 

Distribution of congressional committee hearings on health-related issues divided among more committees than hearings in any other policy domain

 

31 committees and sub-committees deal with healthcare

Term

 

 

Why did the Clinton Healthcare plan fail?

Definition

 

        More transparent and caused more opponents. 

        Insurance did not support. 

        Missed window of opportunity

 

Term
9 Reasons for growth HCE (healthcare expenditures)
Definition
3 tough moms making imperfect old Digiorno pizza

Third party payemnt, Technology
Medical Model, Multipayer
Imperfect market, Aging population
Defensive Medicine, Practice Variation
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