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health care financing definition. -raising revenue to pay for a good or services in health system. -alternative arrangements for paying, allocating, organizing, and managing health resources. health care financing definition 2. it is a health system responsibility to mobilization, accumulation and allocation money to cover the health needs of ...
- Financing Health Care Flashcards - Quizlet
Top 2011 payment sources. Private health insurance ($891 B);...
- Financing Health Care Flashcards - Quizlet
Health insurance. A means of financing healthcare involving a contract between the beneficiary who provides funds and the insurer, who allocates funds to care-delivering providers. Insurance policy. The contract between the insurer and the insured. Premium. The amount paid per month for an insurance policy.
Study with Quizlet and memorize flashcards containing terms like Some questions to consider when thinking about health care:, Factors influencing the demand for health care, Factors influencing resource allocation and more.
Study with Quizlet and memorize flashcards containing terms like any mechanism that gives people the ability to pay for health services, mechanisms for healthcare financing, Department of VA and the military health system are two separate entities, both being types of and more.
1. risk is unpredictable for individuals 2. risk can be predicted with reasonable accuracy for a large group 3. insurance shifts risk from individual to group 4. resources pooled, and losses shared on some equitable basis by all members of the insured group
Top 2011 payment sources. Private health insurance ($891 B); Medicare ($567 B); Medicaid ($405 B); all public sources = 40% of total payments. US health care spending waste. 20-40% U.S. spending is "waste:" services of no value or valuable services inefficiently delivered; reduction in cost variability, revised economic incentives needed.
DAILY CO-INSURANCE: $400/day for 61-90, $800/day after 90. Medicare Part A - SNF Coverage. - admitted within 30 days of 3 day qualifying hospital stay (3 midnights) - intended to provide coverage for a rehab stay, not for a long term care resident. - Prospective Payment System - payment determined under PDPM. Cost to patient: $0 for first 20 days.