Chapter 3 Evolution of Health Services Flashcards
Almshouse
A poorhouse: common ancestor of both hospitals and nursing homes. Unspecialized institution existing during the 18th and 19th centuries. Mainly served general welfare functions. Provided shelter to homeless, insane, elderly, orphans, disabled and sick who had no family
Balance Bill
Practice where provider bills the patient for leftover sum after insurance has only partially paid the charge initially billed
Cost Shifting
AKA Cross-subsidization; shifting of costs from one entity to another as a way of making up losses in one area, but charging more in other areas
Cultural Authority
General acceptance and reliance on the judgement of the member of a profession because of their superior knowledge and expertise
Fee for service
Payment of separate fees to providers for each separate service, ie exam, test administration, hospitalization
Gatekeeping
Use of primary care physicians to coordinate health care services needed by enrollees in a managed care plan
Global Health
Efforts to protect the entire global community against threats to people’s health and to deliver cost-effective public health and clinical services to the world’s population
Globalization
Various forms of cross-border economic activities driven by the global exchange of information, production of goods and services more economically in developing countries, increased interdependence of mature and emerging world economies
Means Test
Program in which eligibility depends on income
Medicaid
Joint federal-state program of health insurance for the poor
Medical Tourism
Travel abroad to receive elective, nonemergency medical care
Medicare
Federal program of health insurance for the elderly, certain disabled individuals, people with end-stage renal disease
Organized Medicine
Concerted activities of physicians, mainly to protect their own interests, through such associations such as the American Medical Association
Part A (Medicare)
Component of Medicare that provides coverage for hospital care and limited nursing home care
Part B (Medicare)
Federal government-subsidized voluntary insurance for physician services and outpatient services
Pesthouse
Facility operated by local governments in 18th-19th centuries to quarantine people who had contracted contagious disease such as cholera, smallpox, typhoid or yellow fever. Predecessors of contagious-disease and TB hospitals
Prepaid plan
Contractual arrangement under which a provider must provide all needed services to a group of members (enrollees) in exchange for a fixed monthly fee paid in advance to the provider on a per-member basis (called capitation)
Socialized Medicine
Any large-scale government-sponsored expansion of health insurance or intrusion in the private practice of medicine
Title XVIII
Title 19 of the Social Security Amendment of 1965; the Medicare Program
Title XIX
Title 19 of the Social Security Amendment of 1965; the Medicaid program
