Flashcards
US Health System
Cards in this deck (15)
- 1Define a Health SystemA sum of organizations, institutions, and resources focused on health at a high level
- 2What is definition of health care delivery?resources and processes which enable people to receive health care services.
- 3Define Providers?all organizations, services, and resources that directly deliver or facilitate healthcare services to patients
- 4Who are healthcare Payers?organizations (public and private) that finance health care services, eg - MEdicare, MEdicaid, Private insurance, Managed care, Self insured business, and individuals
- 5What two principles is health insurance grounded upon?1) Risk Spreading
2) Cost Sharing - 6Define Risk SpreadingProcess to minimize the chance of significant losses to the payer- done through premiums, denials, and increasing cost sharing based on Risk
- 7Define Cost Sharingfinancial risk management strategy requires patients to share in a portion of health care costs
- 8What is Cost ShiftingCharging more to some individuals to make up the cost for those who can afford to pay
- 9What does Access Mean?the ability to obtain healthcare services when needed
- 10What do Suppliers provide in Healthcare?Resources and services
- 11What is the role of healthcare regulators?direct or influence behaviors, actions, or decisions of providers, suppliers and payers of the health system to ensure safety and balance of objective to ensure quality, access and control costs
- 12What are the IOM's 6 aims of quality for Healthcare?Safety, Effective, Patient Centered, Timely, Efficient, Equitable
- 13What is an Accountable Care Organization?Network of providers that share financial and medical responsibility for providing coordinated care to patients to limit unnecessary costs
- 14What is a patient centered Medical home?delivery model where the coordination of the healthcare is by the primary care provider to ensure they have access to health care services when they need it
- 15What is Patient Activation?Patient's knowledge, skills, ability and willingness to manage their health care
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- Board Exam Fundamentals Flashcards on US Health System , created by Michael Riben on 12/08/2022.
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- Michael Riben
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