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52 Cards in this Set

  • Front
  • Back

Healthcare insurance

Variety of policies that can be purchased to cover healthcare goods

Insured

Covered by policy

Subscriber

Individual who purchases policy

Insurer

Healthcare insurance company

Covered services

Services that are reimbursed by the insurance policy

Durable medical equipment (DME)

Equipment purchased to meet a specific healthcare need

Medicare

Federal Government


•Age or disability

Medicaid

Federal & State


•Income levels

State children’s healthcare insurance program (SHIP)

Kids who don’t have health insurance

Deductible

$ amount the subscriber pays before healthcare will pay the rest

Higher detectable=

Lower premium

Copayment

Flat $ amount a subscriber has to pay for specific health services

Coinsurance

A percentage, cost sharing obligation.

More about Medicare

1965: Elderly population, must have contributed to Medicare or meet the standards

Beneficiary

Individual entitled to Medicare

Part A

Hospital insurance, inpatient, skilled nursing home (BASIC SERVICES)

Part B

Supplementary medical insurance

Part D

Covers prescription drugs

More about Medicaid

People who can’t make enough $

Balance Budget Act 1997

Eliminated budget deficient

Medicare modernization Act 2006

Imitation of Medicare part D

MMO PPO

Group of physicians together. Medicaid getting more patients to doctors, Medicare pays less

Reimbursement

Providers get money from insurance

Retrospective

Fee for services

Definition of Communication

Expression, ideas and thoughts

Verbal communication

Has to be verbalized


• Speaking

Nonverbal communication

Other kinds


•Gestures, written, sign langue, picture, head nodding

••Critical thinking

Knowing how to do a job by yourself

Communication

Communicating affectively to get done what needs

Problem-solving

Recognize & define problems

Inter-personal skill

Interact affectively with partners

Responsibility

Being accountable

Professionalism

Exhibit appropriate behavior

Constructive feedback use

Take what’s being said to you and apply it

Affective use of time & resources

Manage time and resources affectively

Stress management

Identify sources of stress to develop effective coping behaviors.

••Commitment to learning

Self-direct learning to include needs and learning

Cognitive problem solving

Understanding

Cycomotor problem solving

Putting into motion

Affective problem solving

Communicate back to you

Rapport

Mutual collaboration & respect

Cultural rapport

Dress & greeting

Verbal Rapport

Similar phases or convo

Behavioral rapport

Posture, & body movements

Cultural competence

Ethics, religion, sexual orientation, generations, socio-economic backgrounds.

Cultural “continuism”

Negative, neutral and positove

Transitinolist

Before 1946

Baby boomers

1946-1964

Generation Xers

1965-1981

Milennals

1982-200

Cultural Destructors

People treated in a dehumanizing manner

Cultural proficiency

Cultural differences highly regarded and understood