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Combination of private and public; primarily employee based. |
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How is health care in the US financed? |
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how many people in the U.S are uninsured? |
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$2.33 trillion (2008) [since 2008 spending has slowed] |
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What is the national cost of health care? |
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16% (of all the money in the U.S) |
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What percent of the GDP is that? |
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How much is spent per person? |
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1. At the hospital (most expensive) 2. Outpatient [physician services] 3. Medications/Prescriptions |
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What are the 3 top expenses? |
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(federal program; federal and state program for children; very important and excellent program for uninsured children and their families), |
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(Obama Care; they are very concerned about healthcare and how it is a moral/ethical issue [everyone deserves it]) |
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all inclusive care program for the elderly. For older Americans living at home who need support services. Has been shown to decrease hospitalization? |
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first nursing school was in... |
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made in 1965; all american 65 and older; federal. Part A: mandatory hospital (basic hospital stuff) Part B: tests, procedures, equipment ect. Part C: medicare plus choice; allows private health plans (dental; vision). Part D: prescription drugs |
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(8.1 million uninsured) 7.1 million insured children; for parents who make to much to apply for medicare but who dont make enough for private insurance |
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true or false health spending has been decreasing.... |
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eligable to go to LT care facility, but it tries to help you stay at home and get care within the home. Helps cover the cost of the in home care. |
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essentially a piecework, pay-as-you-go system in which the care provider is financially rewarded for high service utilization. |
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method that pays providers for services on a per-member-per month basis, is a common form of prepayment. The provider receives payment whether or not services are used. If a physician exceeds the predetermined payment level, he or she may suffer a financial penalty. |
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nother form of payment device that seeks to provide financial incentives for efficient resource management. In the withhold scheme a percentage of the monthly capitated fee is withheld from payment to accommodate potential cost overruns for referals or hospitalizations; all, part, or none of the withholds may be returned to the physician at the end of an annual period, depending on its financial performance. |
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Term
Factors that contribute to the growth in healthcare expenditures |
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advancing medical and diagnostic technology, growth in the population of older adults, emphasis on specialty medicine, the uninsured, labor intensity, and reimbursement system incentives. |
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It provided grants and loans to provide, start, or expand a Health Maintenance Organization (HMO); removed certain state restrictions for federally qualified HMOs; and required employers with 25 or more employees to offer federally certified HMO options IF they offered traditional health insurance to employees. |
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