Term
|
Definition
Centers for Disease Control and Prevention
One of the major components and under direction of the DHHS. Its mission is to develop and apply disease prevention and control, environmental health, and health education activities designed to improve health of US. Also achieves these goals through envolvement in global health. |
|
|
Term
|
Definition
Children's Health Insurance Program
Enacted in 1997, CHIP is a federal-state program that provides health care coverage for uninsured low-income children who are not eligible for Medicaid. States can administer CHIP seperately, through Medicare, or a combination of both. Federal matches state spending for CHIP, but federal CHIP funding is capped. |
|
|
Term
|
Definition
Department of Health and Human Services
US Government's principal agency for protecting the health of Americans and providing essential human services. |
|
|
Term
| Employer-sponsored insurance |
|
Definition
| Health care offered to employees through the workplace |
|
|
Term
|
Definition
| Enacted in 1965 under title 17 of the Social Security act, Medicare is a federal entitlement program that provides health insurance coverage for 45 million americans, including 65 and older, and those with permanet disabiliites, end-stage renal disease, and Lou Gherigs disease. |
|
|
Term
|
Definition
| Enacted in 1965, under title 19 of the social security act, Medicaid is a federal entitlement program that provides health and long-term care coverage to certain categories of low income Americans. States design their own Medicaid programs within broad federal guidelines. Medicaid plays a key role in the US health care system, filling large gaps in the health insurance system, financing long term care, and sustaining the safety net providers which serve the uninsured. |
|
|
Term
|
Definition
| Disease that spreads from animals to people |
|
|
Term
| How much health care spending is devoted to medical care and research? |
|
Definition
|
|
Term
| Behavior and the environment are responsible for ____% of avoidable mortality. |
|
Definition
|
|
Term
| Communicable Disease Center established. |
|
Definition
|
|
Term
| CDC renamed Centers for Disease Control |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Percentage of americans on employee sponsored insurance |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| % of Americans on Medicare |
|
Definition
|
|
Term
| % of Americans on Private non group insurance |
|
Definition
|
|
Term
| Describe Era 1: The Emerging System of Health Care. Include #1 cause of death and life expectancy |
|
Definition
| Pre 1910, life expectancy was 46 yrs. Infectious disease was the #1 killer. No standards for medical education, no health insurance, minimal licensing. |
|
|
Term
| Health Care Spending accounts for __% of GDP in 2009, compared to ____% in 1981. |
|
Definition
|
|
Term
|
Definition
| Could refer to either the poverty thresholds, defined by the Census Bureau for statistical purposes to find the number of Americans living in poverty. Or it refers to poverty guidelines issued by the DHHS, which are simplifications of the census bureau's thresholds to determine eligibility for services like Medicaid. In 2011, a single person making $10890 or less and a family making $22350 or less were eligible for Medicaid |
|
|
Term
| Medicaid Eligibility $$ for individual, for family of four |
|
Definition
|
|
Term
|
Definition
| National Survey of American Families provides quantatative data on child, adult, and family well being, with special focus on low income families. |
|
|
Term
|
Definition
| Personal Responsibility and Work Opportunity Reconcilliation Act. Welfare reform law signed by President Clinton. The law contains work requirements and denies Medicaid eligibility and most other forms of public assistance to legal immigrants until they have lived in the US for 5 years or attain citizenship. |
|
|
Term
|
Definition
| Medical care not paid for, either out of pocket by an individual or by a public or private insurance payer. The cost of uncompensated care is estimated using the benchmark of what would have been paid for the services by private insurance. |
|
|
Term
|
Definition
Medical Expenditure Panel Survey
A set of large scale surveys of families and individuals, their medical providers, and employers across the US. MEPS is the most complete source of data on the cost and use of health care and health insurance coverage. |
|
|
Term
|
Definition
Accountable Care Organization
A network of health care providers that band together to provide a full continuum of health care services for patients. The network would receive payment for all care provided to the patient and would be held accountable for quality and cost of all care. Proposed pilot programs in Medicaid and Medicare would provide financial incentives for these organizations to improve quality and reduce cost by allowing them to share in any savings |
|
|
Term
|
Definition
Health Maintenance Organization
A type of managed care plan that offers comprehensive heath service coverage for hospital and physician services, relying on its providers to minimize the cost of providing medical services. HMOs contract with or directly employ participating health service providers. Enrolees pay the full cost for out of network care. |
|
|
Term
|
Definition
Managed Care Organization
An umbrella term. Refers to a variety of health care providers including HMOs PPOs and POS plans. Maneaged Care programs contract with a limited number of health care providers, often called a network. All managed care plans exert some control over how, where, when, by whom, and in what quantity health care is delivered. |
|
|
Term
| What percentage of cervical cancer cases and deaths occur in poor countries |
|
Definition
|
|
Term
|
Definition
| The study of distribution and determinants of health related states or events including disease. And the application of this study to the control of diseases or other health problems. |
|
|
Term
|
Definition
Community Based Participatory Research
A research approach which emphasizes a collaborative approach with the community under study in order to reduce health disparities. Invites commmunity participation throughout the research process, from the development of research initiatives through the dissemination and application of findings. |
|
|
Term
|
Definition
Cost Effectiveness Analysis
A type of economic evaluation that examines both the cost and health outcomes of alternative intervention strategies. CEA is used to identify strategies that provide value for money, in order to efficiently utilize scarce resources. |
|
|
Term
|
Definition
| A modeling technique that systematically aids in the decision making process by considering the uncertainty associated with alternative solutions to a particular problem |
|
|
Term
|
Definition
| A measure of which the frequency of a given event occurs in a population at a given time. Denominator is population at risk and the numerator is the number of new cases at a given time. |
|
|
Term
|
Definition
| the Papanicolaou smear is a screening process used in gynecology to detect premalignant and malignant processes in the ectocervix |
|
|
Term
|
Definition
| Represents an unequal disease across a population of interest resulting from differences in environment, access to care, use of care, or quality of care received |
|
|
Term
|
Definition
| Human Papillomavirus is a member of the papillomavirus category of viruses that can infect humans. HPVs established productive infections in the stratified epithelium cells of the skin or mucous membranes. Approximately 50 types infect the genital tract, and is the most common STD in the US. Approximately 15 of these are carcinogenic and can lead to precancerous tumors or cervical cancer if they persist. Vaccines exist to prevent 16 and 18 which account for 70% of infections. Cervarix and Guardasil |
|
|
Term
| Cervarix and Guardasil protect against HPV strains __ and __, which cause about __ percent of cervical cancer in us |
|
Definition
|
|
Term
| Medicare covers ___ 65 and older and ___ under 65 but permanently disabled |
|
Definition
|
|
Term
| % under 65 disabled on medicare |
|
Definition
|
|
Term
| % under 200% FPL on medicare |
|
Definition
|
|
Term
|
Definition
| Hospital Insurance Program |
|
|
Term
|
Definition
| Supplemental Medical Insurance Program, covers physician visits and outpatient. |
|
|
Term
|
Definition
| Medicare Advantage, private health plans provide benefits |
|
|
Term
|
Definition
| Prescription Drug Benefits, private plans provide benefits |
|
|
Term
| % enrolled in Medicare Advantage |
|
Definition
|
|
Term
|
Definition
|
|
Term
| % of those covered by part B that have some employer sponsored coverage, like retirement benefits |
|
Definition
|
|
Term
| % of those in Part A that are also in part B |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Of the dual eligbles, ___ % are elderly, and ___ are disabled |
|
Definition
|
|
Term
| Number of dual eligbles that don't qualify for full medicaid but instead use medicare savings program |
|
Definition
|
|
Term
| % of total federal spending that Medicaid CHIP accounts for |
|
Definition
|
|
Term
| % of total federal speniding that Medicare accounts for |
|
Definition
|
|
Term
| Medicaid covers ___ low income children and parents and ___ disabled nonelderly |
|
Definition
|
|
Term
| Low income pregnant woman account for ___% of births in the us |
|
Definition
|
|
Term
| Of all those with Medicare, ___% are also Medicaid beneficiaries |
|
Definition
|
|
Term
| % of uninsured children eligible for Medicaid/CHIP but not enrolled |
|
Definition
|
|
Term
| % of nursing home care financed by medicaid |
|
Definition
|
|
Term
| Federal Government funds ___% of all medicaid historically, but this rate increased to ___% on condition states cannot restrict coverage |
|
Definition
|
|
Term
|
Definition
Activities of daily living
Tasks used to mention a person's functional status, including bathing eating, dressing, using the toilet and walking |
|
|
Term
|
Definition
| A method of cost sharing in health insurance plans in which a policy holder is required to pay a defined percentage of their medical costs after the deductible has been met |
|
|
Term
|
Definition
| Any contribution policy holders make towards their own health care as defined in their policy. Examples include co-insurance, copays, and annual deductibles |
|
|
Term
|
Definition
| A gap in prescription drug coverage under medicare Part D where enrolees pay 100% of their drug cost once they have reached the initial coverage limit until they qualify for catastrophic coverage. Under standard part D coverage, medicare pays 75% of total drug spending below an initial coverage limit (2830 in 2010) and 95% above the catastrophic level (6440). These levels are indexed to increase over time. The doughnut hole specifically refers to the gap between these levels where the enrollee pays 100%. The coverage gap will gradually be phased out with reform, so individuals will only be responsible for 25% by 2020 of all costs up to catastrophic level. |
|
|
Term
|
Definition
| Lower income Medicare beneficiaries who are also eligible to receive some benefits from Medicaid or help with Medicare out of pocket expenses |
|
|
Term
|
Definition
Fee for service
Method for paying for healthcare based on the actual care delivered. |
|
|
Term
|
Definition
| A government's deficit can be measured with or without including the interest it pays on its debt. The primary deficit is defined as the difference between total government spending and total revenue from all taxes. Total deficit is spending, plus intrest payments, minus tax revenue |
|
|
Term
|
Definition
| Health or social services for people with chronic illness or disability. Care may be provided at home, residential facility, or elsewhere in community. |
|
|
Term
|
Definition
Electronic Health Record
A medical record in digital format |
|
|
Term
|
Definition
| nonspeciality care provided by doctors, nurses, others |
|
|
Term
|
Definition
| people who are insured but nevertheless face big costs or limits on benefits |
|
|
Term
|
Definition
| The amount paid, often on a monthly basis, for health insurance. The cost of the premium may be shared between the individual and employers or government purchasers. |
|
|
Term
|
Definition
| Health care costs, such as deductibles, coinsurance, and copays that are not covered by health insurance. These do not include premiums. |
|
|
Term
|
Definition
| Passed by the 111th congress in February of 2009. Economic stimulus package intended to create jobs and promote investment and consumer spending during the recession. Rationale comes from the Keynesian economic tradition which says that government budget deficits should be used to cover output gap created by drop in consumer spending during a recession. |
|
|
Term
|
Definition
| Fixed amount that must be paid by a patient before health insurance begins to cover other services. |
|
|
Term
|
Definition
| A fixed payment provided to the medical provider from a managed care plan for the care of a patient, regardless of the type or number of services provided. |
|
|
