Examen
HCA 600 Midterm Exam Latest Update
- Grado
- Institución
HCA 600 Midterm Exam Latest Update ...
[Mostrar más]Vista previa 2 fuera de 14 páginas
Vista previa 2 fuera de 14 páginas
Añadir al carrito
Añadir al carrito
Vendedor
Seguir
Flat
Comentarios recibidos
Vista previa del contenido
HCA 600 Midterm Exam Latest Update Three major concerns in health care - Answer Cost, Quality, and Equity Managed Care - Answer is a system of health care delivery that influnces or controls uilization of services and cost of services. UR (Utilization Review) - Answer is a safeguard against inappropriate and unnecessary medical care. Pre- Certification - Answer Obtaining eligibility, certification or authorization and collecting information from the health plan prior to services Three types of managed care (MC) plans - Answer PPO,POS & HMO What is consumer- driven health care - Answer An approach to insure that focuses on making consumers sense price signals when they purchase health care. Generally involves setting a high deducatable that individulas must pay before thay can recieve insurance benefits. Consumers Like - Answer *Choices of plans & coverage *Access to latest medical technologies/ pharmaceuticals *High-quality clinical care *Access to doctors & medical professionals Health Care ($) - Answer $3 Trillion Drugs (%) - Answer 10% Hospitals (%) - Answer 31% Physician (%) - Answer 21% For profit - Answer Investor owned Non-profit Hospitals - Answer *Staus (501 c3) *Charitable ORganization *Often donate to community causes (education, primary prevention) Majority of the hospitals in the US - Answer Non-profit US life expectancy - Answer 79.8 Babies that survive - Answer 6/1000 Medicare Eligibility - Answer Senior Citizens (65+), individuals with disability and sever Kidney Disease Medicare Financed - Answer Ran by the Federal Government Medicare Spending - Answer 14% of federal Government spending in 2014, $597 billion Medicare Part A - Answer Inpatient Inpatient - Answer * Paid thru 2.9% tax by employers and employees * this accounts for 88% of part A * Also pays for skilled nursing facilities, home health care, and hospice Medicare Part B - Answer Outpatient Outpatient - Answer * Paid by the revenues from premiums (Part B) Medicare Part C - Answer Managed Care + Choice Managed Care + Choice - Answer *This is supplemental to medicare. *Generally offeres bennifts like vision, dental, and hearing. *These are medicare approved private health insurance plans. Medicare Part D - Answer Drug Benefits Drug Benefits - Answer *Paid for by revenues on premiums (Part D) Medicaid Eligibility - Answer Low-income children, pregnant women, elderly, blind, and disabled. Medicaid beneficiaries % - Answer 65% of beneficiaries are mothers and dependent childrenLos beneficios de comprar resúmenes en Stuvia estan en línea:
Garantiza la calidad de los comentarios
Compradores de Stuvia evaluaron más de 700.000 resúmenes. Así estas seguro que compras los mejores documentos!
Compra fácil y rápido
Puedes pagar rápidamente y en una vez con iDeal, tarjeta de crédito o con tu crédito de Stuvia. Sin tener que hacerte miembro.
Enfócate en lo más importante
Tus compañeros escriben los resúmenes. Por eso tienes la seguridad que tienes un resumen actual y confiable. Así llegas a la conclusión rapidamente!
Preguntas frecuentes
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.
100% de satisfacción garantizada: ¿Cómo funciona?
Nuestra garantía de satisfacción le asegura que siempre encontrará un documento de estudio a tu medida. Tu rellenas un formulario y nuestro equipo de atención al cliente se encarga del resto.
Who am I buying this summary from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Flat. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy this summary for 9,51 €. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
45,681 summaries were sold in the last 30 days
Founded in 2010, the go-to place to buy summaries for 14 years now