HMGT 3310 Midterm 2025 Actual exam (Testing
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Terms in this set (145)
the drive for regulating quality, access, cost; they always have a trade off
health stems from
controlling:
Baylor Hospitals developed a plan for unlimited
what was the first form of
access by school teachers in return for prepayment
health insurance?
in the form of a set monthly sum
first nonprofit insurance company that covered
blue cross insurance
inpatient expenses; formed in 1939
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1. freeze on wages during war left few options to
attract workers but it exempted fringe benefits such
as employer-paid insurance; firms used this to
the impact of WWII on
entice prospective workers
health insurance?
2. subsequent tax regulations compounded the
value of insurance; health insurance benefits were
excluded from income tax
-1946; provided federal grants to fund hospitals
construction and renovations
-must do the following:
provide minimum amounts of indigent care (care for
Hill-burton Act the poor),
to operate ERs,
decline from discriminating against patients based
on race
Participation in Medicare/aid
When was Medicare and 1965
Medicaid established?
a less costly alternative to tradition health insurance
Health Maintenance
through a passage of legislation to encourage their
Organizations (HMOs)
adoption in employer benefit plans; 1973
what did congress do in mandated states implement health planning
1976 to control programs to rationalize proliferation of expensive
healthcare costs? and obligate services
switched from a fee for service method to one
change in Medicare in
based on prospectively set mouton deterred by
1983
each patient's primary diagnosis
pillars of the regulatory federal, state, private
system
1. Legislative
Three branches of
2. Executive
government
3. Judicial
the original locus of regulatory activity (don't
States and Healthcare through departments of health and boards of
medicine)
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oversees sanitation standards, conducts inspections,
state health departments
issues lessens, and gathers and disseminates data
perform basics functions of professional licensing
boards of medicine
and oversight of practice
-formed in 1847; promoted and guided the
development of physician licensure laws and
American Medical
accreditation standard for medical schools
Association
-most influential private organization of them all
-has strong lobbying presence
formed in 1950s; a private organization formed by
members of hospitals that establish a process of
Joint commission on
accrediting facilities according to quality standard
Accreditation of
that were generally more stringent than those
Healthcare Organizations
required for state licensure; most hospitals are part
of JCAHO and are reevaluated every 3 years
formed 1990s; represent large employers and other
National Committee for major payer for care; accredits MCO; private
Quality Assurance accrediting organization supervise quality through
collaboration of members of the industry
how is American's as a public-private patrnership
healthcare regulatory
system characterized?
who is the most the federal government
significant player/payer
of Healthcare regulatory
systems?
Department of Health formed in 1939; conduct majoring of federal
and Human services healthcare regulatory activity
FDA, CMS, CDC, National Institute of Health, Public
Health Services, Indian Health Services, Health
what agencies are under Resources and Services Administration, SAMHSA,
the DHHS Agency for healthcare Research and Quality,
Administration for children and Families and
Administration on Aging
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