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6 Cards in this Set

  • Front
  • Back
Health Care Policy Regimes
Solo Doctor Policy Regime --> Medicare/Medicaid Regime
Reasons for a regime change
Technology and Medical Specialization, Rise of New Medical Organizations, Anti-Poverty Movement
Health care crisis
a lack of funds, access, and quality
Lack of healthcare funds
Demographic Factors, Medical Technology, Third-Party Payers: HMOs and Private Insurance, Medicare/Medicaid, Perverse Market Incentives
Lack of healthcare access
Many jobs are shifting to not include healthcare, many people are also underinsured or are not covered by the holes in medicare and medicaid
Holes in medicare and medicaid
Medicaid
Not cover the working poor: adults without children, but below poverty line
Not cover children ages 7 to 18 whose family incomes just above poverty line
Pays only 60% of doctors fees, doctors not accept Medicaid patients
Many families with poor children not apply for Medicaid, not aware for some parents.

Medicare
No cover long-term nursing care