Health Plan Authorization Process in UMR Department Quiz

Health Insurance and Coverage

• Another name for the system mentioned in the text is Medicaid.

CMS 1500 Form

• The Certification Number can typically be found on the CMS 1500 form.

Healthcare Services Approval

• Certain healthcare services need to be approved by insurance providers under this system.

Pre-Admission Approval

• Pre-admission approval refers to the approval required for hospital admissions and certain medical procedures.

Benefits of Health Insurance Coverage

• One benefit associated with health insurance coverage is financial protection against medical expenses.

Challenges with Health Insurance

• Despite having health insurance, one common challenge individuals face is high out-of-pocket costs.

Health Insurance and Preventative Care

• Health insurance coverage helps prevent long-term health issues by encouraging regular check-ups and preventative care.

Delaying or Foregoing Care

• About 40% of surveyed individuals delay or go without care due to high out-of-pocket costs.

Importance of Health Insurance Coverage

• A key reason why health insurance coverage is important is that it provides financial protection against medical expenses.

Obstacles with Health Insurance

• One obstacle mentioned in the text that some insured Americans face is high out-of-pocket costs despite having coverage.

Benefits of Health Insurance Coverage

• One benefit of health insurance coverage is that it encourages regular check-ups and preventative care.

Uninsured Populations

• Young adults (19-34 years old) have disproportionately high rates of being uninsured.

Impact of Medicaid Expansion on Hospitals

• One impact of Medicaid expansion on hospitals is that they see a reduction in uncompensated care costs.

Outcomes of Medicaid Expansion

• One outcome associated with Medicaid expansion is improved health outcomes for low-income individuals.

Impact of Health Insurance on Communities

• Health insurance coverage has a positive impact on communities by encouraging community clinics and health centers.

Importance of Access to Coverage and Care

• It is important to improve access to coverage and care because it leads to better health outcomes and a healthier workforce.