test 1 Flashcards

(36 cards)

1
Q

first period diseases

A

acute infectious - malaria and yellow fever

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2
Q

first period discoveries

A

x-ray, thermometer, stethoscope, bp cuff

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3
Q

second period diseases

A

pneomia, tb

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4
Q

second period discoveries

A

insulin, FDC/FDA, penicillin, EKG

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5
Q

blue cross

A

hospital

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6
Q

blue sheild

A

doctors

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7
Q

how many americans covered by insurance in second period

A

20%

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8
Q

third period inovations

A

use of penicillin, CT, MRI

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9
Q

fourth period 1981

A

HIV/TB, HIPPA

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10
Q

HITECH

A

stimulus bill, increase electronic records

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11
Q

DRG

A

diagnosis related groups, most important in financing healthcare in America, expansion of home healthcare, hospitals given an amount of money for expected length of stay for a certain diagnosis

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12
Q

HIPPA

A
  1. protects coverage for workers when they lose their job

2. electronic health care safety

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13
Q

headquarters CMS

A

baltimore and DC

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14
Q

admin CMS

A

seema verma

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15
Q

Medicaid financed

A

per capita income, federal gov pays percentage, cant be greater than 83% or less than 50%

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16
Q

who is eligible for medicaid

A

needed, disabled

17
Q

main medicaid beneficiaries

A

children under 19

18
Q

main medicaid funding

19
Q

medicare finances

A

federally run, 60 million americans

20
Q

eligibility medicare

A

65, end stage renal disease (permanent kidney failure) and ALS, disability for more than 24 months

21
Q

Part A

A

hospital insurance

22
Q

part B

A

vision, hearing, dental, provides part a and b, still need part b premium, medicare contracts and pays insurance companies to admin these plans, provides prescription drug coverage through MA

23
Q

part d

A

prescription drug plan, made possible through MMA,

24
Q

vaccines in part b

A

pneumococcal, hep b, flu

25
main beneficiaries medicare
over 65
26
most funding in medicare goes to
hospital services, then medicare advantage
27
percent medicare spent on prescription drugs
10
28
dual eligible
dont enroll in medicare- automatically enroll them
29
excluded category of drugs
anorexia, infertility, hair growth, erectile dysfunction, OTC
30
CHIP
9 million childeren, too high to qualify for medicaid but cant afford private coverage,
31
CHIP name in AL
All Kids- BCBSAL to provide services
32
6 protected classes in part D
immunosuppressant, antidepressent, antipsychotic, anticonvulsant, antiretroviral, anticancer
33
tiers of drugs
teir 1- generic 2- nonpreffered g 3- preferred brand name 4- non preferred 5- specialty
34
ratio of techs
3:1
35
NDC
5-4-2, manuf- drug- package type
36
dea number
first letter- prescriber second letter- last name CALC1,3,5 + (CALC2,4,6 )x2 = digit dea