You call this a System? Spend or Bend? Access- how many A's does it take? Who Aids or Cares? Not so esi
100
What is the “Andersen Behavioral Model”?
Not related to the handsome journalist on 360, this feedback loop shows the recursive nature of health service use.
100
What are hospital care (31%) and physicians and clinics (20%)?
These services account for over half of health care spending.
100
What is access?
The attainment of timely, sufficient and appropriate healthcare of adequate quality such that health outcomes are maximized.
100
What are children, parents of dependent children, pregnant women, the disabled, and the elderly, if there is financial need? The ACA extends eligibility to poor childless adults.
All enable individuals to be eligible for Medicaid.
100
What is job lock, inequity, lack of choice, and lack of privacy?
These are four problems associated with employee-sponsored insurance.
200
What are Quality, Access, and Costs.
The Iron Triangle of Health Care.
200
What are cost-unconscious consumers, fee-for-service care, physician/hospital reimbursement separation, delivery/financing separation
Provide two examples of how the financing system of US health care is flawed.
200
What are HMOs?
Reagan eliminated all federal payments to this partially nonprofit sector of health insurance payment with a prospective fee schedule.
200
What are mandatory pay-as-you-go payroll taxes or social security contributions?
This source provides the funding for Medicare Part A.
200
What is COBRA?
Not a serpent, this act temporarily extends coverage for many after an event, such as job loss.
300
What is co-insurance, copayment, and deductible?
The term for a percentage of charges paid by the patient, the flat amount paid by the consumer, and the amount that must be paid out of pocket before insurance covers the costs.
300
What are technological advancements?
This is primarily responsible for the increases in growth of US health care spending.
300
What are accessibility, acceptability, accommodation, affordability, and availability?
These are considered the “5 A’s of access.”
300
What is this reduces adverse selection?
Medicare Part D is optional, but penalties apply if you decide to enroll later. What’s the reasoning for these penalties?
300
What is a Financial Accounting Standards Board rule that required firms to include the future liabilities on their balance sheets?
This led to a reduction (85.6% to 37.1%) in the number of mid-sized and large firms that offered health care coverage for retirees.
400
What are safe, effective, patient-centered, timely, efficient, and equitable?
These are the six aims of the 21st century health care system.
400
What is 50%?
Healthcare spending is unevenly distributed across the population. 5% of the population represents this proportion of the total healthcare funds.
400
What is the “Hispanic epidemiological paradox?”
The “healthy migrant” hypothesis and the “discovery effect” are two potential explanation for this observed racial/ethnic disparity.
400
What is Medicaid enrollees are generally sicker and more disabled than their privately covered counterparts, or those that are uninsured, so selection bias could be at work?
Why is it difficult to evaluate Medicaid coverage versus private insurance or no insurance coverage?
400
What are employer and employee tax incentives.
What was the primary driver of growth of employer sponsored insurance coverage?
500
What are salary, fee-for-service, and capitation?
These are the three worst and most common types of physician payment methods.
500
What is flat of the curve medicine?
As spending increases from zero, there is first a dramatic initial increase in health outcomes, followed by slight increases in outcomes. Finally, as spending gets higher and higher, no benefits in outcomes are realized.
500
What are technical competence (of the provider) and interpersonal (aspects of the patient-provider relationship)?
The process component of the Donabedian Classic Triad, used to define quality of care, embodies these two elements of care.
500
What is Federal Medical Assistance Percentage (FMAP)?
This is the formula used to determine federal matching for the Medicaid program.
500
What is non-self-insuring or fully insured employers?
These employers have to pay a monthly, predetermined premium amount to insurance companies regardless of employee health care claim expenses and must abide by state mandates regarding employee benefit plans.






hlsa 601 midterm game 1

Press F11 for full screen mode



Limited time offer: Membership 25% off


Clone | Edit | Download / Play Offline