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NHA
| Question | Answer |
|---|---|
| There are two primary types of physicians: | medical doctor (MD) and doctor of osteopathy (DO). |
| Physician assistants (PA) | must practice medicine under the direction and supervision of a licensed MD or DO, but they can make clinical decisions. |
| Nurse practitioners (NP) | provide basic patient care services, including diagnosing and prescribing medications for common illnesses. |
| licensed practical nurse (LPN) | can measure vital signs, administer some medications and perform clinical care such as wound care. |
| Home Health | specific types of care provided to those who cannot leave their home easily. |
| Hospice | is end-of-life care focused on comfort rather than curative efforts. |
| Patient-Centered Medical Home (PCMH) | a care delivery model in which a PCP coordinates treatment to ensure patients receive the required care when and where they need it and in a way they can understand. |
| Patient Portals | a common feature in electric health records. |
| Fee for Service | providers and medical facilities bill insurance and patients for the services provided. |
| Value-Based Plans | The goals of value-based care are summarized in the Quadruple Aim • Improved patient outcomes • Improved patient satisfaction • Lower cost • Health care professional well-being. |
| Managed care | An umbrella term for plans that provide health care in return for preset scheduled payments and coordinated care through a defined network of providers and hospitals. |
| Capitation (partial or full) | Patients are assigned a per-member, per-month payment based on age, race, sex, lifestyle, medical history, and benefit design. Payment rates are tied to expected usage regardless of how often the patient visits. Like bundled payment models, providers are |
| Point-of-service (POS) plan | allow a great deal of flexibility for patients. They can self-refer to specialists and do not need an assigned PCP. Like PPO, the cost depends on whether the providers they see are within the plan’s panel. |
| General practitioners (GPs) | medical doctors who treat acute and chronic illnesses and provide patients with preventive care and health education. |
| Family practitioners | offer care to the whole family, from newborns to older adults. |
| Internists | provide comprehensive care for adults, often diagnosing and treating chronic, long-term conditions. |
| Specialty Health Care Services | is used when a disease or diagnosis escalates beyond the area of expertise of a PCP. |
| Allergist | Evaluates disorders and diseases of the immune system, including adverse reactions to medications and food, anaphylaxis, problems related to autoimmune disease, and asthma |
| Endocrinologist | Diagnoses and treats hormonal and glandular conditions; often works with patients who have diabetes |
| Gastroenterologist | Manages diseases of the GI tract (stomach, intestines, esophagus, liver, pancreas, colon, and rectum) |
| Hepatologists | Studies and treats diseases related to the liver, biliary tree, gallbladder, and pancreas |
| Neonatologist | Provides care of newborns, specifically those who are ill or premature |
| Nephrologist | Manages diseases and disorders of the kidney and its associated structures |
| Obstetrician | Provides care of patients during and after pregnancy |