C425 Wgu 2022
What is the dominant healthcare delivery system in the USA
Managed care, employers and government are primary suppliers
What Population does the VA serve
Veterans TRICARE is insured for military personnel active and non-active
Brainpower
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Describe the affordable care act and its role in healthcare reform
Main goal was to expand coverage increase access to care Medicaid expansion
and take away pre-existing conditions
List for key characteristics of the US healthcare system
No central governing agency technology driven and focuses on acute care, high
cost, unequal access and average outcomes, imperfect market conditions for
healthcare delivery, fusion of market and social justice, multiple players in
balance of power access to healthcare is selectively base on insurance.
,Define health
Overall well-being of mental and physical well-being
Discuss disease classifications acute, subacute, chronic
Acute: Patient received short-term treatment for severe injury or episode of
illness and urgent medical condition or recovery from surgery examples, heart
attack lack of kidney function. Subacute: Comprehensive in patient care
someone who has an acute illness injury or disease trach tube feeding tube
wound care.
Chronic: Less severe but is continuous can be controlled but if uncontrolled can
lead the serious complications sometimes even if controlled. Examples, diabetes,
hypertension, asthma.
Define market justice
Fair distribution of healthcare to market forces in a free economy, medical
services are based on peoples willingness to pay individuals are responsible for
their own achievements. Less involvement with government. People view this as
if you can't pay you shouldn't have health insurance
Social Justice
More government involvement in medical insurance, insurance for all
What is Healthy People 2020?
10 your plans, focused on medical care, prevention, and education. Creating
environments that promote good health for all. Healthy development behaviors
across all life stages
What is the Flexner Report?
Report by Abraham Flexner by the Carnegie Commission to evaluate medical
schools
, Outlined the inadequacies of medical schools that did not use the German model
that promoted medical education on the principles of scientific discovery
Caused schools that did not use this scientific model to close from lack of
funding.
what is workers compensation?
Insurance that aids cash or medical insurance when you are hurt on the job.
Who is covered by Medicare?
Elderly over the age of 65, disabled, and those with high end renal failure" kidney
disease"
Who is covered by Medicaid
Low income adults, children, elderly and disabled. Means test determines need
for Medicaid. Each state defines their own outline of need for people applying for
Medicaid
Describe cost sharing in the three main types of cost sharing in private health
insurance
Premium cost sharing: Insured assume some part of the risk purposes to reduce
miss use of insurance benefits. Deductible; amount insured pays before benefits
are paid by the plan. Copayments;'s money paid out of pocket each time services
are rendered. Coinsurance; amount Insured has to pay at a certain percentage
after deductible is met before insurance covers at 100%
What is covered in Medicare a
Medicare a covers inpatient and hospital services nursing care, hospice care,
and limited home health services.
What is covered under Medicare B
What is the dominant healthcare delivery system in the USA
Managed care, employers and government are primary suppliers
What Population does the VA serve
Veterans TRICARE is insured for military personnel active and non-active
Brainpower
Read More
Previous
Play
Next
Rewind 10 seconds
Move forward 10 seconds
Unmute
0:00
/
0:15
Full screen
Describe the affordable care act and its role in healthcare reform
Main goal was to expand coverage increase access to care Medicaid expansion
and take away pre-existing conditions
List for key characteristics of the US healthcare system
No central governing agency technology driven and focuses on acute care, high
cost, unequal access and average outcomes, imperfect market conditions for
healthcare delivery, fusion of market and social justice, multiple players in
balance of power access to healthcare is selectively base on insurance.
,Define health
Overall well-being of mental and physical well-being
Discuss disease classifications acute, subacute, chronic
Acute: Patient received short-term treatment for severe injury or episode of
illness and urgent medical condition or recovery from surgery examples, heart
attack lack of kidney function. Subacute: Comprehensive in patient care
someone who has an acute illness injury or disease trach tube feeding tube
wound care.
Chronic: Less severe but is continuous can be controlled but if uncontrolled can
lead the serious complications sometimes even if controlled. Examples, diabetes,
hypertension, asthma.
Define market justice
Fair distribution of healthcare to market forces in a free economy, medical
services are based on peoples willingness to pay individuals are responsible for
their own achievements. Less involvement with government. People view this as
if you can't pay you shouldn't have health insurance
Social Justice
More government involvement in medical insurance, insurance for all
What is Healthy People 2020?
10 your plans, focused on medical care, prevention, and education. Creating
environments that promote good health for all. Healthy development behaviors
across all life stages
What is the Flexner Report?
Report by Abraham Flexner by the Carnegie Commission to evaluate medical
schools
, Outlined the inadequacies of medical schools that did not use the German model
that promoted medical education on the principles of scientific discovery
Caused schools that did not use this scientific model to close from lack of
funding.
what is workers compensation?
Insurance that aids cash or medical insurance when you are hurt on the job.
Who is covered by Medicare?
Elderly over the age of 65, disabled, and those with high end renal failure" kidney
disease"
Who is covered by Medicaid
Low income adults, children, elderly and disabled. Means test determines need
for Medicaid. Each state defines their own outline of need for people applying for
Medicaid
Describe cost sharing in the three main types of cost sharing in private health
insurance
Premium cost sharing: Insured assume some part of the risk purposes to reduce
miss use of insurance benefits. Deductible; amount insured pays before benefits
are paid by the plan. Copayments;'s money paid out of pocket each time services
are rendered. Coinsurance; amount Insured has to pay at a certain percentage
after deductible is met before insurance covers at 100%
What is covered in Medicare a
Medicare a covers inpatient and hospital services nursing care, hospice care,
and limited home health services.
What is covered under Medicare B
