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Community Chapt 8

Vocab words and study material

QuestionAnswer
Capitation a payment system whereby one fee is charged the client to pay for all services received or needed.
Covered Lives persons enrolled in a health care plan who are eligible for services under that plan
Diagnosis-related groups (DRGs) a patient classification scheme that defines 468 illness categories and the corresponding health care services that are reimbursable under Medicare.
Economics social science concerned with the problems of using or administering scarce resources in the most efficient way to attain maximum fulfillment of society's unlimited wants.
Effectiveness a measure of an organization's performance as compared with its philosophy, goals, and objectives.
Efficiency the process of meeting goals in a way that minimizes costs and maximizes benefits.
Enabling the act of shielding or preventing the addict from experiencing the consequences of the addiction. Also applies to shielding individual from the consequences of their actions more generally.
Fee-for-service list of health care services with monetary or unit values attached that specifies the amounts third parties must pay for specific services.
Gross domestic product (GDP) a statistical measure used to compare health care spending among countries.
Health Care Rationing a method to reduce health care costs by controlling the use of health care services and technologies.
Health Economics concerned with how scarce resources affect the health care industry.
Human Capital Measure of macroeconomic theory invoving improving human qualities, like health, focus for developing and spending money on goods and services, increases productivity, enhances the income-earning ability of people, & improves economy.
Inflation sustained upward trend in the prices of goods and services.
Intensity the use of technologies, supplies, and health care services by or for the client.
Managed Care method of organizing a number of different health care services together long a continuum of care. The client pays for services through insurance plan.
Means Testing a method used to assess whether a client's income level qualifies him or her for Medicare and or Medicaid
Medicaid jointly sponsored state and federal program that pays for medical services for the aged, poor, blind, disabled, and families with dependent children.
Medical Technology the set of techniques, drugs, equipment, and procedures used by health care professions in the delivery of medical care to individuals
Medicare federally funded health insurance program for the elderly and disabled and personsd with end-stage renal disease.
Prospective Payment System (PPS) diagnosis-related group payment mechanism for reimbursing hospital for inpatient health care services through Medicare.
Public Health Economics Focuses on the producing distributing, and consuming of goods and services as related to public health.
Retrospective Reimbursement method of payment to an agency based on units of service delivered.
Return on Investment improved health outcomes as a result of the resources provided for a program or intervention. Resources include money, providers, time, equipment.
Safety Net Providers those community providers that offer services to the uninsured and underinsured.
Third-Party Payers reimbursement made to health care providers by an agency other than the client for the care of the client. (insurance companies, governments, and employers).
The goal of public health finance is "to support population focused preventive health services"
When government provides the money but the private sector decides how it is used the money comes from business and individual tax savings r/t private spending for illness prevention care.
When the private sector proveides the money but the government decides how it is used the money is used for preventive care services for specific populations.
Created by: jc891884
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