Medi-what? | Why are we always talking about Money? | I know my ABCs! | I think I have heard that term before | Try your luck |
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What are children?
These Medicaid enrollees account for 50% of all enrollees but only contribute to 20% of the expenditures.
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What are physicians?
Health care expenditures could be stemmed by focusing on this group of individuals.
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What is an HMO?
The most restrictive form of managed care- enrollees are required to choose a gatekeeper physician, whom they must see to get referrals to specialists.
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What is association versus causation?
Whether or not there is an identifiable relationship between an exposure and an outcome or if there is a true mechanism that lead from exposure to outcome.
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What is 2/3s?
This percentage of the US population had private health insurance.
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What is dental care?
Medicare provides funding and care for the elderly, including inpatient and outpatient care. But many 65+ need this type of coverage, not included in Medicare, to adhere the loose fixtures in their mouths.
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What is block grants in CHIP versus open-ended, matched expenditures in Medicaid?
The financing difference between Medicaid and CHIP.
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What are HDHP/SO?
These type of "catastrophic coverage" health plans began to gain popularity in 2006 and the rate has more than quadrupled since
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What is effective?
a patient is given unnecessary treatment for a disease in which they are too far in, this aim for the 21st century health care system would be violated.
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What is NHANES?
The acronym for a national survey that combines physical examinations and interviews, like one which related blood lead levels in children with leaded gasoline.
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What is the Social Security Act?
Medicare and Medicaid were both created via amendments to this legislation.
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What is $750 billion (1/3 of spending)?
Wasted spending in health care. Put a number on it.
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What is a Point of Service (POS) plan?
Health insurance plans that allow subscribers to go to providers outside the network but usually do not reimburse costs at the same level as network providers, combining principles of an HMO and a PPO.
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What is adverse selection?
When higher risk individuals buy into a plan designed for lower risk individuals, potentially causing prices to spiral upward and healthy individuals to drop the plan. Information asymmetry is often a contributing factor.
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What are job lock, inequity, lack of choice, and lack of privacy?
These are four of the main problems associated with employer-sponsored health insurance.
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What is Medicare Advantage?
The shiny, new name for Medicare +Choice.
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What are levels and growth? (high and rising)
When we talk about health care spending, it is important to distinguish between these two factors since the causes and cures differ.
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What is Centers for Medicare & Medicaid Services?
This organization administers Medicare, Medicaid, and Children’s Health Insurance Program (CHIP).
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What is moral hazard?
Excessive expenditure due to insurance coverage, in which individuals continue to demand healthcare after the point where marginal benefit falls below marginal cost.
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What is Institute of Medicine?
Authoring institution of that tangled, highly fragmented web.
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What is Kathleen Sebelius?
The head of the Department of Health and Human Services, which oversees CMS.
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What are physician fees, payments per hospital day, high administrative costs, amenities, etc.?
The reasons why we have high levels of spending in our health care system.
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What are accessibility, acceptability, accommodation, affordability, and availability?
These are the 5 A's of access.
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What is prevent crowd out?
Bush was trying to prevent this when he issued his directive that states seeking to expand CHIP eligibility thresholds to 250% FPL must establish a one year period without health insurance before they can enroll.
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What are ERISA, COBRA, and HIPAA?
These three acts are key to regulating much of employer-sponsored insurance coverage.
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