Health Policy And Management Chapter 14

Front 1

Catastrophic plan

Back 1

a high-deductible plan – does not cover routine and inexpensive health care services, but provides coverage for major expenditures beyond a predetermined deducible amount – the antithesis of a plan that provides comprehensive coverage

Front 2

Cross- training

Back 2

originated in the 1980s – to allow workers to be more flexible in responding to the changing needs of patients and providers – may include teaching an employee to assume additional clinical or clerical roles or training an employee to work in several different areas – the objectives are to improve staff flexibility, realized greater efficiency, and reduce costs

Front 3

Cultural competence

Back 3

refers to knowledge, skills, attitudes, and behavior required of a practitioner to provide optimal health care services to persons from a wide range of cultural and ethnic backgrounds – necessary because most future health care professionals will be called upon to deliver services to many patients with backgrounds far different from their own – need to understand how and why different belief systems, cultural biases, ethnic origins, family structures and many other culture-based factors influence the manner in which people experience illness, comply with medical advice, and respond to treatment

Front 4

Defined benefit plan

Back 4

offered by the majority of employers – consumers have no financial incentives to be prudent purchasers, and patients are almost totally removed from the cost of care

Front 5

Defined contribution plan

Back 5

employers would commit to a fixed dollar for health benefits – the fixed dollar amount is paid to the employees, who then pay for the health care plan they select, rather than the current practice of committing to a fixed health benefits package with selected health plans for all employees

Front 6

e-health plans

Back 6

internet based plans – enable consumers to tailor plans according to individual needs, obtain instant quotes, and make online purchases

Front 7

genometrics

Back 7

association of genes with specific disease traits

Front 8

high-risk pools

Back 8

target groups that cannot purchase health insurance on their own because of poor health – enable hard-to-insure people to purchase subsidized coverage

Front 9

managed competitions

Back 9

comprehensive package of health care benefits to all Americans regardless of preexisting conditions – each citizen would choose a plan from fee for services, an HMO, or a preferred provider organization (PPO)

Front 10

medication savings accounts

Back 10

employee-managed account coupled with a high-deductible catastrophic health insurance plan – the account is funded with pre-tax dollars contributed by employers and employees – money remaining in the account at the end of each year can be rolled over

Front 11

play or pay

Back 11

employer-based plan – introduced to achieve universal coverage – employers must provide employees’ health insurance (play) or pay into a public health insurance program – requires private and public insurance entities to provide identical benefits to employees

Front 12

single-payer health plan

Back 12

place responsibility for financing health care with one entity (usually the federal govt) – one major advantage is that all Americans and lawful residents would be entitled to benefits regardless of individual or family income – private insurance plans and govt entitlement programs (Medicaid, Medicare, etc) would no longer be necessary

Front 13

telematics

Back 13

(aka telemetry) – describes the combination of information and communications technology to meet user needs – includes telemedicine – can expand services to isolated areas and even into people’s homes

Front 14

xenotransplantation

Back 14

a growing research area in which animal tissues are used for transplants in humans