Page 1 of 52 1 MHA 707 EXAM D LATEST 2 VERSIONS COMPLETE 300 QUESTIONS AND CORRE CT VERIFIED ANSWERS ALREADY GRADED A+ MHA 707 EXAM D VERSION 1 Status of HC in most of the world in the 1920s? -European industrialized countries, as well as Japan, had some kind of NHI system -usually began as a partial or voluntary system, generall y progressing to a comprehensive and compulsory Status of HC after WWII Many universal health systems were formed to placate workers who were being courted by socialistic/communistic movements Role of AMA Overall shift of power from academic wing of medical profession to practitioner wing that the conservative, practitioner faction, won The Health Security Act Under Clinton administration wasv the last of the comprehensive health care reform proposals of th e 20th Century Health Security Act 5 Features -Guaranteed private insurance for everyone -Choice of physician and health plan -Elimination of unfair insurance practices -Preservation of Medicare -Health benefits guaranteed through the work site [except for unemployed] Page 2 of 52 2 Health Care Alliances purpose •Collect all of the money used to support health services from all sources •Contract with provider networks and groups in their region to provide a package of health care services for all persons enrolled •Have ov ersight for all quality -assurance activities National Health Board Put a limit on the care given Health Security Act objections •Most medical, hospital, and insurance industry groups against it for reasons ranging from an antagonism to “government regulati on” to a concern with potential [significant] limitations on profit -making •Many concerned that the limitations imposed on care would lead to “rationing” – care not approved by the HSA would be illegal to obtain •significant health care delivery system ref orm •[The plan was very “top down” and restrictive in the eyes of many physicians – i.e., any service not approved by National Health Board would be illegal ] •[widespread physician distaste for, and fear of, further constraints on the physician -patient relationship] Unaddressed central problems not addressed by Bush administration •High cost •Maldistribution of personnel and facilities •Lack of financial access for many people Page 3 of 52 3 •Lack of attention to health promotion and disease prevention •Heavy emphasis on the use of expensive pharmaceuticals and medical/surgical procedures Americans largely uninsured during ACA development Unemployed people who could not afford insurance, employed with no esi, employed especially the young who did not take esi, and those wi th means who chose not to be insured Americans largely insured during ACA development medicare, mediciad, chip, military and veterans health insurance, esi, private health insurance not related to employment ACA did not go to a single payer or NHI format b ecause it was apparent that a plan eliminating any of the existing payers in the hc system would not have sufficient support for passage Public Option of ACA it allowed many to purchase medicaid coverage with means tested premium. ACA features designed to increase coverage •Mandated that private health insurance plans meet minimum standards •Cannot discriminate against people with preexisting conditions ( guaranteed issue ) •Cannot impose lifetime and annual limits on coverage •Must extend dependent coverage to age 26 Pre-existing condition and Guaranteed Issue Something needed to be done to he lp people in these situations Made changing employer/insurance practical and more fair Page 4 of 52 4 Helped many who could not get insurance because of early life events Removed disincentives to practice “more -healthy” lifestyles stop smoking, lose weight, etc. Allowed people to “game the system” – buy insurance only when a health problem arises and be uninsured (not pay premiums) otherwise health insurance exchanges •created for individuals and small businesses to ... •Compare plans •Apply for financial assistance Purch ase coverage SHOP Small Business Health Options Program -Created to help firms with 50 or fewer employees cover their workers individual mandate (ACA) -was critical to the success of the ACA -Purpose was to stabilize the private health care marketplace by distributing costs across healthy and unhealthy people •More individuals with high health care costs enroll in a particular plan and drive the insurer's costs, and therefore premiums, higher •As a result, healthier people disenroll in the plan, in favor of less expensive coverage -was ruled unconstitutional Community vs. Experience rating
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller STUVIAGRADES. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $21.99. You're not tied to anything after your purchase.
