MHA 610 Final Exam Flashcards on Healthcare Topics
Study online at https://quizlet.com/_hxzsyv
1. HIPAA Health Insurance Portability and Accountability Act
2. Main purpose of HIPAA To protect patient privacy and ensure security of health information
3. EMTALA Requires hospitals to provide emergency medical treatment regard-
less of insurance or ability to pay
4. Stark Law Prohibits physician referrals to facilities where they have a financial
interest (for Medicare/Medicaid patients)
5. Anti-Kickback Statute Prohibits offering or receiving financial incentives for patient referrals
6. Affordable Care Act (ACA) Federal law that significantly expanded healthcare access in 2010
7. Major goals of the ACA Expand insurance coverage and reduce healthcare costs
8. MACRA Medicare Access and CHIP Reauthorization Act; replaced the Sustain-
able Growth Rate formula for provider payment
9. Core components of Cost, quality, and access
health policy
10. Influencers of U.S. health Government, healthcare providers, insurers, pharmaceutical compa-
policy nies, and consumers
11. Main categories of Physicians, nurses, and allied health professionals
healthcare professionals
12. Credentialing in health- A process that verifies a provider's qualifications, education, and licen-
care sure
13. Nursing shortage in the Due to an aging workforce, high burnout, and increased demand for
U.S. care
14.
1/5
, MHA 610 Final Exam Flashcards on Healthcare Topics
Study online at https://quizlet.com/_hxzsyv
Allied health profession- Healthcare workers who support diagnosis and treatment (e.g., PTs,
als lab techs, dietitians)
15. Role of nurse practition- They provide primary and specialty care, often in place of physicians
ers (NPs) and physician
assistants (PAs)
16. Impact of ACA on health- Increased demand for primary care providers and preventive services
care employment
17. Impact of workforce di- Improves cultural competence and reduces health disparities
versity
18. Licensure State-level authorization to practice a health profession
19. Scope of practice The procedures and responsibilities legally permitted for a healthcare
professional
20. Uninsured Individuals without any health insurance coverage
21. Underinsured Individuals whose insurance doesn't fully cover healthcare costs, lead-
ing to financial strain
22. Common social determi- Income level, education, neighborhood, or access to care
nant of health
23. Effect of being uninsured Leads to delayed care, more ER visits, and higher mortality rates
on health outcomes
24. Medicaid expansion un- Increased coverage for low-income adults in participating states
der the ACA
25. Safety-net providers Clinics/hospitals that serve uninsured and low-income patients
26. Fee-for-service (FFS) Payment per specific service or procedure
2/5
Study online at https://quizlet.com/_hxzsyv
1. HIPAA Health Insurance Portability and Accountability Act
2. Main purpose of HIPAA To protect patient privacy and ensure security of health information
3. EMTALA Requires hospitals to provide emergency medical treatment regard-
less of insurance or ability to pay
4. Stark Law Prohibits physician referrals to facilities where they have a financial
interest (for Medicare/Medicaid patients)
5. Anti-Kickback Statute Prohibits offering or receiving financial incentives for patient referrals
6. Affordable Care Act (ACA) Federal law that significantly expanded healthcare access in 2010
7. Major goals of the ACA Expand insurance coverage and reduce healthcare costs
8. MACRA Medicare Access and CHIP Reauthorization Act; replaced the Sustain-
able Growth Rate formula for provider payment
9. Core components of Cost, quality, and access
health policy
10. Influencers of U.S. health Government, healthcare providers, insurers, pharmaceutical compa-
policy nies, and consumers
11. Main categories of Physicians, nurses, and allied health professionals
healthcare professionals
12. Credentialing in health- A process that verifies a provider's qualifications, education, and licen-
care sure
13. Nursing shortage in the Due to an aging workforce, high burnout, and increased demand for
U.S. care
14.
1/5
, MHA 610 Final Exam Flashcards on Healthcare Topics
Study online at https://quizlet.com/_hxzsyv
Allied health profession- Healthcare workers who support diagnosis and treatment (e.g., PTs,
als lab techs, dietitians)
15. Role of nurse practition- They provide primary and specialty care, often in place of physicians
ers (NPs) and physician
assistants (PAs)
16. Impact of ACA on health- Increased demand for primary care providers and preventive services
care employment
17. Impact of workforce di- Improves cultural competence and reduces health disparities
versity
18. Licensure State-level authorization to practice a health profession
19. Scope of practice The procedures and responsibilities legally permitted for a healthcare
professional
20. Uninsured Individuals without any health insurance coverage
21. Underinsured Individuals whose insurance doesn't fully cover healthcare costs, lead-
ing to financial strain
22. Common social determi- Income level, education, neighborhood, or access to care
nant of health
23. Effect of being uninsured Leads to delayed care, more ER visits, and higher mortality rates
on health outcomes
24. Medicaid expansion un- Increased coverage for low-income adults in participating states
der the ACA
25. Safety-net providers Clinics/hospitals that serve uninsured and low-income patients
26. Fee-for-service (FFS) Payment per specific service or procedure
2/5
