Sociology 130 quiz 5 Flashcards
(33 cards)
What is adverse selection
people who need healthcare are most likely to buy it
rescission
when a healthcare provider cancels coverage after it has been issued
normally after large costs have incurred
Risk pool
a solution to sick people in insurance pools
the combo healthy people to sick people into a common purchasing group
80/20 rule
What is the 80/20 rule
risk pool ratio healthy/sick
T/F a big pool means minimal expenses for a wide range of people
True
community rating
same cost for everyone in the risk pool
individual rating
your personal cost
guaranteed issue
no denial for pre-existing conditions
third party payment
somebody else pays the bills besides the direct consumer of the healthcare
worried well
people in a risk pool that use the services over and over
Medicare is for who
old people
Medicaid is for who
poor people and now low income
How much of the US budget is spent on Medicare and how many does it cover
1/3 of the budget and covers 40 million
Has the amount of people covered by medicaid change and by how much
70% covered, now only 45% covered
A market oriented alternative to healthcare does what
de-proffesionalization of medicine
ends medicare/medicaid
high deductible
friedman
Government oriented alternative to healthcare does what
socialized medicine: government owns and operates all healthcare
pays healthcare bills from taxes collected
pros: lower costs to bureaucracy, all are treated
cons: upper class lose privilege, slower technology, rationing
Obama and ACA reforms
no pre-existing illness exclusions/recission- guaranteed insurance
Mandatory insurance-forcing you to buy private insurance
subsidies
Increase medicare tax on those making more than 250k
Cost shifting
non profit hospitals overbilling other care in hospitals to pay for poor people in emergency rooms
cherry picking
For profit hospitals getting rid of ER’s to avoid treating poor people who can’t afford care, so only treating profitable patients
Where does most healthcare costs goto
hospitals
What kind of hospitals make up the majority of hospitals the US
non profit hospitals with religious origins
Average cost of insurance for a family of four
12k
The amount of employer based coverage is increasing or decreasing and what is it
decreasing, its about 68%
The US spends how much on healthcare every year
2.6 trillion
