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12 Cards in this Set

  • Front
  • Back

During WW2, how was health insurance available?

Health insurance was provided by employers, and continued after the war as an employee benefit.

What are the 2 biggest problems with Healthcare?

Cost and Access

What is a Deductible?

The specified amount a recipient pays before an insurance company will cover a claim.

What is a Co-Pay?

The recipient pays a percentage of the cost, and the insurance company covers the difference.

Why is there a more rapid rise in costs on the Demand side?

An increasing demand for healthcare, rising income, an aging population requires healthcare, etc.

Why is there a more rapid rise in costs on the Supply side?

To cover the cost of paying physicians, purchasing advanced medical equipment, etc.

What is the Moral Hazard Problem?

One party of an agreement alters behavior, which is costly to the other party.

What are HSA's?

Health Savings Accounts, savings accounts for future health care expenses, nontaxable upon deposit.

What are PPO's?

Preferred Provider Organizations, which outline specific hospitals and facilities covered by the plan. If a facility is not covered, a higher fee will be charged.

What are HMO's?

Health Maintenance Organizations, list covered facilities and hospitals. If a facility is not covered by the plan, you'll have to pay out of pocket there.

What are Medicare and DRG?

DRG = Diagnosis related group; A fixed payment is given to the hospital based on the diagnosis they give a patient.

What are the conditions of the Affordable Care Act?

1) Insurance companies cannot deny coverage based on preexisting conditions




2) Subsidies included to not bankrupt the poor and middle class




3) Insurance exchanges allow shopping for gov't-approved health insurance policies




4) Taxes help pay for the previously uninsured