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52 Cards in this Set
- Front
- Back
Healthcare insurance |
Variety of policies that can be purchased to cover healthcare goods |
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Insured |
Covered by policy |
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Subscriber |
Individual who purchases policy |
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Insurer |
Healthcare insurance company |
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Covered services |
Services that are reimbursed by the insurance policy |
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Durable medical equipment (DME) |
Equipment purchased to meet a specific healthcare need |
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Medicare |
Federal Government •Age or disability |
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Medicaid |
Federal & State •Income levels |
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State children’s healthcare insurance program (SHIP) |
Kids who don’t have health insurance |
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Deductible |
$ amount the subscriber pays before healthcare will pay the rest |
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Higher detectable= |
Lower premium |
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Copayment |
Flat $ amount a subscriber has to pay for specific health services |
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Coinsurance |
A percentage, cost sharing obligation. |
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More about Medicare |
1965: Elderly population, must have contributed to Medicare or meet the standards |
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Beneficiary |
Individual entitled to Medicare |
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Part A |
Hospital insurance, inpatient, skilled nursing home (BASIC SERVICES) |
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Part B |
Supplementary medical insurance |
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Part D |
Covers prescription drugs |
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More about Medicaid |
People who can’t make enough $ |
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Balance Budget Act 1997 |
Eliminated budget deficient |
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Medicare modernization Act 2006 |
Imitation of Medicare part D |
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MMO PPO |
Group of physicians together. Medicaid getting more patients to doctors, Medicare pays less |
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Reimbursement |
Providers get money from insurance |
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Retrospective |
Fee for services |
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Definition of Communication |
Expression, ideas and thoughts |
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Verbal communication |
Has to be verbalized • Speaking |
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Nonverbal communication |
Other kinds •Gestures, written, sign langue, picture, head nodding |
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••Critical thinking |
Knowing how to do a job by yourself |
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Communication |
Communicating affectively to get done what needs |
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Problem-solving |
Recognize & define problems |
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Inter-personal skill |
Interact affectively with partners |
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Responsibility |
Being accountable |
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Professionalism |
Exhibit appropriate behavior |
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Constructive feedback use |
Take what’s being said to you and apply it |
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Affective use of time & resources |
Manage time and resources affectively |
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Stress management |
Identify sources of stress to develop effective coping behaviors. |
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••Commitment to learning |
Self-direct learning to include needs and learning |
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Cognitive problem solving |
Understanding |
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Cycomotor problem solving |
Putting into motion |
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Affective problem solving |
Communicate back to you |
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Rapport |
Mutual collaboration & respect |
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Cultural rapport |
Dress & greeting |
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Verbal Rapport |
Similar phases or convo |
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Behavioral rapport |
Posture, & body movements |
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Cultural competence |
Ethics, religion, sexual orientation, generations, socio-economic backgrounds. |
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Cultural “continuism” |
Negative, neutral and positove |
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Transitinolist |
Before 1946 |
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Baby boomers |
1946-1964 |
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Generation Xers |
1965-1981 |
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Milennals |
1982-200 |
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Cultural Destructors |
People treated in a dehumanizing manner |
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Cultural proficiency |
Cultural differences highly regarded and understood |