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US Healthcare System: Structure, Evolution, and Key Concepts – Questions & A+ Solutions

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US Healthcare System: Structure, Evolution, and Key Concepts – Questions & A+ Solutions

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US Healthcare System
Module
US Healthcare System

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US Healthcare System: Structure, Evolution, and
Key Concepts – Questions & A+ Solutions

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Terms in this set (70)



What is a unique characteristic of the Americans are not automatically covered.
U.S. healthcare system?


What type of healthcare system does A fragmented healthcare system.
the U.S. have?


How many health centers are there in Over 1,370 health centers.
the U.S.?


What is the primary function of To provide affordable, comprehensive, and effective
American health centers? primary healthcare.


What percentage of Americans do 1 in 7 Americans.
health centers serve?


Name one type of insurance Employer-based health insurance.
mechanism in the U.S. healthcare
system.


What is Medicare? A federally funded program for certain disabled
people and the elderly.


What does Medicaid cover that Benefits like nursing home care and personal
Medicare does not? experiences.


What is a provider in the context of An entity that delivers healthcare services and bills
healthcare? for those services.

, What is reimbursement in healthcare? Payment to providers for services delivered.


What is one major characteristic of the No central agency governs the system.
U.S. healthcare system?


What does it mean that there is no one Multiple payers exist, making the system complex.
payer system in the U.S.?


How is access to healthcare services It is selectively based on insurance coverage.
determined in the U.S.?


What is item-based pricing in Fees charged for individual services.
healthcare?


What are phantom providers? Providers that bill for services separately, commonly
found in hospitals.


What is package pricing in A bundled fee for a group of related services.
healthcare?


What is value-based care (VBC)? A healthcare delivery model focused on quality and
value.


What is the holistic view of health? Care that considers the whole person, including
physical, mental, social, and spiritual dimensions.


What are the determinants of health? Factors such as environment, lifestyle, heredity,
medical care, economy, and education.


What are social determinants of health Non-medical factors that affect health outcomes,
(SDOH)? including conditions of birth, growth, work, living,
and aging.


What are the three principles of a Health risk appraisal, interventions for risk factors,
health promotion and disease and adequate public health and social services.
prevention program?


What is morbidity? The condition of suffering and disease.

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