Flashcards in Spogen! Deck (20)
How do we rank internationally in health care delivery?
US ranks #37
Which is not a parameter used in ranking?
Access to health system
cost of accessing care
accessing cutting-edge tech
comparison of disease-specific treatment patterns & outcomes?
c. access to cutting-edge tech
T/F New models of health care have driven down the cost of health care.
How is health care accessed?
individuals decide how sick they are & choose where to go (hospital, primary care etc)
How is health assessed?
individuals decide when & who will assess their health
How many Americans are uninsured?
How is the health care delivery system in the US?
consumer driven, but becoming insurance driven
Uninsured deal w/ health care how?
covered by a "safety net" of providers
Insurance plans were originally developed when?
Great Depression as a way to increase employee's compensation
T/F Insurance plans have payment rates that are based on Medicare rates.
T/F Medicare is based on payment via SGR formula.
False! Congress just changed it.
How is Medicare & Medicaid run?
Medicare--national program but farmed out to insurance companies in different regions
Has part A & B (outpatient has donut hole)
Medicaid-administered by the states & both states & feds finance the program.
What is SHIP?
state children's insurance plan
covers children health issues that helps families that make less than 200% of FPL but don't qualify for Medicaid
T/F Malpractice insurance has restricted many practices scope of practice.
T/F Hospitals require that you have malpractice insurance.
CMS funds what?
both medicare & medicaid
and inpatient training of doctors
Time for resident training is based on what?
3rd party (ACGME) dictates the amount & specifics of training programs
Who determines the types & #s of residency training slots?
Funding for residencies?
congress approves funding
funding goes thru CMS & goes to hospitals
direct CMS funding goes to residency salaries
indirect CMS funding for what it takes to educate resident
still only partial funding