Part A: hospitalization (up to 90 days), skilled nursing (up to 100 days), hospice (up to 6
months), and some home health
Medicare part B
ambulatory practitioners, physical, occupational and speech therapy; medical
equipment, diagnostic tests, some preventative care
covered tests: pap smears, mammogram, colorectal screening, diabetes screening,
prostate cancer screening, glaucoma screening, cardiac disease screening, pneumonia
and flu vaccines
Medicare part C
optional coverage
Medicare part D
prescription drugs
services not covered by Medicaid
vision care, eyeglasses, dental care, dentures, hearing exams, hearing aids, routine
physical exams, inpatient psych hospitalizations
managed care
-Insurer is both the payer and the provider of healthcare
-Insurer monitors how the healthcare services are utilized and the cost of these services
-Insurer agrees to pay only a flat fee for each patient regardless of what services are
, required, and thus the provider shares in the financial risk
Ford vs Wainwright court case
Competency to be carried out
Dusky vs US
Accepted test of competency that attempts to determine whether a criminal defendant
has the capability to consult with an attorney and to rationally comprehend the
proceeding brought against them
Defined competency to stand trial
Durham vs US
a person is not criminally liable if the criminal act was a product of mental disease; aka
insanity defense
O'Connor vs Donaldson (CONfine)
alone, there is no reason for a mental illness to confer involuntary hospitalization
Rennie vs Klein
pts have a right to refuse any tx and use an appeal process
Roger vs Oken
pts have a right to refuse tx, but a guardian may authorize their tx
veracity
to tell the truth
fidelity
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