HSA Exam 1/ HSA Prac ce Test for Exam NEW!!
EMTALA (Emergency medical treatment & labor act)
required hospitals to provide life-saving care regardless of ability to pay, passed in '86
HIPAA (Health Insurance Portability and Accountability Act)
established privacy standards & insurance reforms for pa'ents, '96
SSA (social security act)
officially established medicare/aid in '65
CHIP
extended coverage to children in families above Medicaid eligibility
ACA (Affordable care act)
expanded medicaid coverage, established a health plan marketplace, reformed insurance
prac'ces
BBB (Big beau'ful bill)
Bill that changed medicaid eligibility & marketplace, $50B to rural health clinics
One, Gov, public, income tax
(Models) Beveridge: _____ payer, funded by _____, delivery is _____, funding source is
__________.
One, gov, private, income tax
(Models) Na'onal Health Insurance: _____ payer, funded by _____, delivery is _____, funding
source is __________.
Mul', employers, private, salary %
(Models) Bismarck: _____ payer, funded by _____, delivery is _____, funding source is
__________.
mul', gov/private, both, salary % and tax
(Models) US: _____ payer(s), funded by _____, delivery is _____, funding source is __________.
bismarck, NHI, beveridge
, Popula'ons in the US differ in how healthcare is delivered, for example, those who get coverage
from their employer resemble _______, low SES & seniors resemble _______, and veterans
resemble _________ models.
Flexner Report
outlined, in 1910, the shortcomings of U.S. medical schools, revolu'onized educa'on &
scien'fic training
Blue Cross and Blue Shield
prepaid hospital plan for teachers: ______, the plan for physicians: ________
HMO Act
Federal support for health maintenance organiza'ons, aBempted to control costs through
managed care
Quality - Cost - Access
The healthcare iron triangle includes
Experience of care, popula'on health, per capita cost
What is the triple aim of healthcare?
VA, Medicare/aid. general "Health" expenses & Educa'on
What parts of healthcare are under mandatory US spending? Discre'onary?
Availability (Rural v urban, supply) Affordability (insurance), accesibility
(geography/infrastructure), accomoda'on ('mely, communica'ons), acceptability (cultural
barriers)
5 characteris'cs to assse healthcare access (5 As!!)
Structure (condi'ons), Process (ac'vi'es) and Outcome (changes)
The Donabedian metrics for healthcare quality are
enforced, guidelines
Laws are ______ by government, whereas policies are _________ made by government
enforces, makes, interprets
the execu've branch ______ laws, legisla've _____ laws, and the judicial ________ laws
Federal
EMTALA (Emergency medical treatment & labor act)
required hospitals to provide life-saving care regardless of ability to pay, passed in '86
HIPAA (Health Insurance Portability and Accountability Act)
established privacy standards & insurance reforms for pa'ents, '96
SSA (social security act)
officially established medicare/aid in '65
CHIP
extended coverage to children in families above Medicaid eligibility
ACA (Affordable care act)
expanded medicaid coverage, established a health plan marketplace, reformed insurance
prac'ces
BBB (Big beau'ful bill)
Bill that changed medicaid eligibility & marketplace, $50B to rural health clinics
One, Gov, public, income tax
(Models) Beveridge: _____ payer, funded by _____, delivery is _____, funding source is
__________.
One, gov, private, income tax
(Models) Na'onal Health Insurance: _____ payer, funded by _____, delivery is _____, funding
source is __________.
Mul', employers, private, salary %
(Models) Bismarck: _____ payer, funded by _____, delivery is _____, funding source is
__________.
mul', gov/private, both, salary % and tax
(Models) US: _____ payer(s), funded by _____, delivery is _____, funding source is __________.
bismarck, NHI, beveridge
, Popula'ons in the US differ in how healthcare is delivered, for example, those who get coverage
from their employer resemble _______, low SES & seniors resemble _______, and veterans
resemble _________ models.
Flexner Report
outlined, in 1910, the shortcomings of U.S. medical schools, revolu'onized educa'on &
scien'fic training
Blue Cross and Blue Shield
prepaid hospital plan for teachers: ______, the plan for physicians: ________
HMO Act
Federal support for health maintenance organiza'ons, aBempted to control costs through
managed care
Quality - Cost - Access
The healthcare iron triangle includes
Experience of care, popula'on health, per capita cost
What is the triple aim of healthcare?
VA, Medicare/aid. general "Health" expenses & Educa'on
What parts of healthcare are under mandatory US spending? Discre'onary?
Availability (Rural v urban, supply) Affordability (insurance), accesibility
(geography/infrastructure), accomoda'on ('mely, communica'ons), acceptability (cultural
barriers)
5 characteris'cs to assse healthcare access (5 As!!)
Structure (condi'ons), Process (ac'vi'es) and Outcome (changes)
The Donabedian metrics for healthcare quality are
enforced, guidelines
Laws are ______ by government, whereas policies are _________ made by government
enforces, makes, interprets
the execu've branch ______ laws, legisla've _____ laws, and the judicial ________ laws
Federal
