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ULL Nursing 104 Unit 16: Financing
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Study Guide
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ULL Nursing 104 Unit 16_ Financing
ULLHealth
Nursing
Care
104inUnit
America
16_ Financing
_ Complete
ULLHealth
Nursing
Study
Care
104
Guide.pdf
inUnit
America
16_ Financing
_ Complete
Health
StudyCare
Guide.pdf
in America _ Complete Study Guide.pdf
,ULL Nursing 104 Unit 16_ Financing Health Care in America.pdf ULL Nursing 104 Unit 16_ Financing Health Care in America.pdf ULL Nursing 104 Unit 16_ Financing Health Care in America.pdf
Terms in this set (42)
Centers for Medicare and Medicaid Services (CMS) the federal government agency that administer Medicare and Medicaid
diagnosis-related groups (DRGs) a common method of reimbursement for health care services based on a
predetermined fixed price-per-diagnosis
effectiveness production of a desired outcome; taking the right action to achieve the
expected result
ULL Nursing 104 Unit 16_ Financing Health Care in America.pdf ULL Nursing 104 Unit 16_ Financing Health Care in America.pdf ULL Nursing 104 Unit 16_ Financing Health Care in America.pdf
,ULL Nursing 104 Unit 16_ Financing Health Care in America.pdf ULL Nursing 104 Unit 16_ Financing Health Care in America.pdf ULL Nursing 104 Unit 16_ Financing Health Care in America.pdf
efficiency the extent to which resources, such as energy, time, and money, are used to
present the intended result
Gross Domestic Product (GDP) the measure of the total value of goods and services produced within a
country; the most comprehensive overall measure of economic output;
provides key insight into the driving forces of the economy
health insurance exchange Also known as the "Health Insurance Marketplace," an online marketplace
for individuals to shop for and purchase health insurance at affordable rates
and to identify whether they qualify for cost assistance subsidies to help pay
the cost of the insurance; states established health insurance exchanges as
a component of the Patient Protection and Affordable Care Act to provide
access to affordable health insurance options for American citizens.
marginal an economic term that refers to a small or insignificant change in some
variable (e.g., the number of medical tests performed)
Medicaid a jointly sponsored state and federal program that pays for medical services
for persons who are elderly, poor, blind, disabled and for certain families
with dependent children who meet specific income guidelines
ULL Nursing 104 Unit 16_ Financing Health Care in America.pdf ULL Nursing 104 Unit 16_ Financing Health Care in America.pdf ULL Nursing 104 Unit 16_ Financing Health Care in America.pdf
, ULL Nursing 104 Unit 16_ Financing Health Care in America.pdf ULL Nursing 104 Unit 16_ Financing Health Care in America.pdf ULL Nursing 104 Unit 16_ Financing Health Care in America.pdf
Medicare a federally funded health insurance program for the disabled, persons with
end-stage renal disease, and persons 65 years of age and older who qualify
for Social Security benefits
Patient Protection and Affordable Care Act (PPACA) A federal statute enacted in 2010 that requires U.S. citizens and legal
residents to have health insurance through comprehensive health care
reform; expands health care coverage access to millions of people who
were previously uninsured
private health insurance A method for individuals to maintain insurance coverage for health care
costs through a contract with a health insurance company that agrees to pay
all or a portion of the cost of a set of defined health care services such as
routine, preventive, and emergency health care; hospitalizations; medical
procedures; and/or prescription drugs. Typically the private insurance is
provided through an individual's employer with a portion of the cost paid by
the employer and a portion paid by the employee. Private insurance
policies can also be purchased by individuals but are generally much more
expensive than when provided through an employer's group plan.
ULL Nursing 104 Unit 16_ Financing Health Care in America.pdf ULL Nursing 104 Unit 16_ Financing Health Care in America.pdf ULL Nursing 104 Unit 16_ Financing Health Care in America.pdf