click below
click below
Normal Size Small Size show me how
Hx Health Ins U.S.
Health Information Technology Related
| Term | Definition |
|---|---|
| Reimbursement claim | statement of services submitted by healthcare provider |
| American Association of Labor Legislation (AALL) began campaign for health insurance in 1913 with creation of | committee on social welfare, first national conference, drafted model health insurance legislation in 1915; supported by AMA; never passed into law |
| Committee on Cost of Medical Care (CCMC) (1926-1932) | made recommendation for voluntary health insurance, national resources allocated for healthcare; nothing came of this initiative |
| Tactical Committee on Medical Care was formed in 1937 and drafted the | Wagner National Health Act of 1939; generated extensive national debate; was not passed into law |
| 1945, Harry Truman introduced a plan for universal comprehensive national health insurance which | died in a congressional committee in 1946 |
| Congress first introduced a bill to fund coverage of hospital costs for SS beneficiaries in | 1948 |
| In 1965 President Lyndon Johnson signed the law, Title II amendment to Title XVIII of the Social Security Act, commonly known as | Medicare |
| Medicaid became effective in 1966 under Title XIX of the Social Security Act, allowing states to | add health coverage to their public assistance prorams for low-income groups, families with dependent children, aged, disabled |
| Medicare and Medicaid were originally under the responsibility of | Department of Health, Education, and Welfare |
| The Department of Health, Education, and Welfare was the predeessor to the | Department of Health and Human Services (DHHS) |
| Initially the Social Security Administration (SSA) administered | the Medicare program |
| Initially the Social and Rehabilitation Service (SRS) administered | the Medicaid program |
| In 1977 administration of Medicare and Medicaid was transferred to a new agency within HHS, the | Health Care Financing Administration (HCFA) |
| in 2001 HCFA name changed to | Centers for Medicare and Medicaid Services (CMS) |
| Since 1983, to manage the rising costs of Medicare/Medicaid programs, CMS has developed the PPS, or | prospective payment system for IP acute care initially, followed by others-home health to OP services |
| Managed Care delivery has virtually eliminated | traditional fee-for-service reimbursement systems (in just two decades). |
| 1860, first commercial insurance company in U.S. was the | Franklin Health Assurance Company of Massachusetts |
| Modern health insurance came on the scene in 1929 when Baylor University Hospital in Dallas, Texas, agreed to provide healthcare services for Dallas schoolteachers and is | generally considered to be the first Blue Cross plan. |
| Group health insurance was offered during WWII as a way to attract | scarce war-time labor; group plans provide hc insurance benefits to full-time employess of a company |