Medi-what? Why are we always talking about Money? I know my ABCs! I think I have heard that term before Try your luck
100
What are children?
These Medicaid enrollees account for 50% of all enrollees but only contribute to 20% of the expenditures.
100
What are physicians?
Health care expenditures could be stemmed by focusing on this group of individuals.
100
What is an HMO?
The most restrictive form of managed care- enrollees are required to choose a gatekeeper physician, whom they must see to get referrals to specialists.
100
What is association versus causation?
Whether or not there is an identifiable relationship between an exposure and an outcome or if there is a true mechanism that lead from exposure to outcome.
100
What is 2/3s?
This percentage of the US population had private health insurance.
200
What is dental care?
Medicare provides funding and care for the elderly, including inpatient and outpatient care. But many 65+ need this type of coverage, not included in Medicare, to adhere the loose fixtures in their mouths.
200
What is block grants in CHIP versus open-ended, matched expenditures in Medicaid?
The financing difference between Medicaid and CHIP.
200
What are HDHP/SO?
These type of "catastrophic coverage" health plans began to gain popularity in 2006 and the rate has more than quadrupled since
200
What is effective?
a patient is given unnecessary treatment for a disease in which they are too far in, this aim for the 21st century health care system would be violated.
200
What is NHANES?
The acronym for a national survey that combines physical examinations and interviews, like one which related blood lead levels in children with leaded gasoline.
300
What is the Social Security Act?
Medicare and Medicaid were both created via amendments to this legislation.
300
What is $750 billion (1/3 of spending)?
Wasted spending in health care. Put a number on it.
300
What is a Point of Service (POS) plan?
Health insurance plans that allow subscribers to go to providers outside the network but usually do not reimburse costs at the same level as network providers, combining principles of an HMO and a PPO.
300
What is adverse selection?
When higher risk individuals buy into a plan designed for lower risk individuals, potentially causing prices to spiral upward and healthy individuals to drop the plan. Information asymmetry is often a contributing factor.
300
What are job lock, inequity, lack of choice, and lack of privacy?
These are four of the main problems associated with employer-sponsored health insurance.
400
What is Medicare Advantage?
The shiny, new name for Medicare +Choice.
400
What are levels and growth? (high and rising)
When we talk about health care spending, it is important to distinguish between these two factors since the causes and cures differ.
400
What is Centers for Medicare & Medicaid Services?
This organization administers Medicare, Medicaid, and Children’s Health Insurance Program (CHIP).
400
What is moral hazard?
Excessive expenditure due to insurance coverage, in which individuals continue to demand healthcare after the point where marginal benefit falls below marginal cost.
400
What is Institute of Medicine?
Authoring institution of that tangled, highly fragmented web.
500
What is Kathleen Sebelius?
The head of the Department of Health and Human Services, which oversees CMS.
500
What are physician fees, payments per hospital day, high administrative costs, amenities, etc.?
The reasons why we have high levels of spending in our health care system.
500
What are accessibility, acceptability, accommodation, affordability, and availability?
These are the 5 A's of access.
500
What is prevent crowd out?
Bush was trying to prevent this when he issued his directive that states seeking to expand CHIP eligibility thresholds to 250% FPL must establish a one year period without health insurance before they can enroll.
500
What are ERISA, COBRA, and HIPAA?
These three acts are key to regulating much of employer-sponsored insurance coverage.






HLSA 601 Midterm

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