Health Policy and Finance Overview

Health Policy and Finance Overview

• Large companies can negotiate lower contract rates for healthcare services for their employees.
• Acute care hospitals often do not disclose prices, hindering patient price comparisons for services.
• Patients can receive surprise bills for out-of-network services after emergency room visits, even weeks later.
• Safety measures are an example of nurse-sensitive indicators that reflect quality of care.
• The Joint Commission does not conduct comparative inspections of inpatient and outpatient services regarding costs and payments.
• Coordinating care often relies on the patient's Electronic Health Record (EHR) for accurate information.
• Higher costs for healthcare insurance do not guarantee better coverage or services.
• Antitrust laws fail to fully prevent market domination by companies that limit competition.
• Some healthcare facilities are unsustainable even with state or federal financial support.
• A Certificate of Need is required for a group of physicians seeking state approval to open a new facility.
• Role Fidelity denotes adherence to the scope of practice relevant to all healthcare professionals.
• An example of Role Fidelity: a nurse respecting a patient's wish not to disclose a terminal illness to family.
• Global budgeting promotes care coordination while incentivizing cost reduction in healthcare.
• Accountability for positive health outcomes is a method to improve population health.
• Managing services and treatments exemplifies acting in the best interest of patients.
• A deductible is the out-of-pocket amount a patient must pay before their insurance covers further costs.
• Cost sharing encompasses deductibles, copayments, and coinsurance payments.
• Diagnosis Related Groups (DRGs) help provide extended treatment and extra days for hospitalized patients.
• The Affordable Care Act (ACA) is financed through multiple channels, including public funding from a single-payer system.
• Coinsurance represents a percentage of healthcare costs the patient pays after meeting the deductible, such as 20% with the insurance covering the remainder.
• Healthcare disparity indicates unequal access and treatment among different populations.
• Major sources of healthcare financing in the U.S. include Medicare, Medicaid, federal taxes, and commercial insurance.

Health Policy and Finance Overview

• Large companies can negotiate lower contract rates for healthcare services for their employees.
• Acute care hospitals often do not disclose prices, hindering patient price comparisons for services.
• Patients can receive surprise bills for out-of-network services after emergency room visits, even weeks later.
• Safety measures are an example of nurse-sensitive indicators that reflect quality of care.
• The Joint Commission does not conduct comparative inspections of inpatient and outpatient services regarding costs and payments.
• Coordinating care often relies on the patient's Electronic Health Record (EHR) for accurate information.
• Higher costs for healthcare insurance do not guarantee better coverage or services.
• Antitrust laws fail to fully prevent market domination by companies that limit competition.
• Some healthcare facilities are unsustainable even with state or federal financial support.
• A Certificate of Need is required for a group of physicians seeking state approval to open a new facility.
• Role Fidelity denotes adherence to the scope of practice relevant to all healthcare professionals.
• An example of Role Fidelity: a nurse respecting a patient's wish not to disclose a terminal illness to family.
• Global budgeting promotes care coordination while incentivizing cost reduction in healthcare.
• Accountability for positive health outcomes is a method to improve population health.
• Managing services and treatments exemplifies acting in the best interest of patients.
• A deductible is the out-of-pocket amount a patient must pay before their insurance covers further costs.
• Cost sharing encompasses deductibles, copayments, and coinsurance payments.
• Diagnosis Related Groups (DRGs) help provide extended treatment and extra days for hospitalized patients.
• The Affordable Care Act (ACA) is financed through multiple channels, including public funding from a single-payer system.
• Coinsurance represents a percentage of healthcare costs the patient pays after meeting the deductible, such as 20% with the insurance covering the remainder.
• Healthcare disparity indicates unequal access and treatment among different populations.
• Major sources of healthcare financing in the U.S. include Medicare, Medicaid, federal taxes, and commercial insurance.

Health Policy and Finance Overview

• Large companies can negotiate lower contract rates for healthcare services for their employees.
• Acute care hospitals often do not disclose prices, hindering patient price comparisons for services.
• Patients can receive surprise bills for out-of-network services after emergency room visits, even weeks later.
• Safety measures are an example of nurse-sensitive indicators that reflect quality of care.
• The Joint Commission does not conduct comparative inspections of inpatient and outpatient services regarding costs and payments.
• Coordinating care often relies on the patient's Electronic Health Record (EHR) for accurate information.
• Higher costs for healthcare insurance do not guarantee better coverage or services.
• Antitrust laws fail to fully prevent market domination by companies that limit competition.
• Some healthcare facilities are unsustainable even with state or federal financial support.
• A Certificate of Need is required for a group of physicians seeking state approval to open a new facility.
• Role Fidelity denotes adherence to the scope of practice relevant to all healthcare professionals.
• An example of Role Fidelity: a nurse respecting a patient's wish not to disclose a terminal illness to family.
• Global budgeting promotes care coordination while incentivizing cost reduction in healthcare.
• Accountability for positive health outcomes is a method to improve population health.
• Managing services and treatments exemplifies acting in the best interest of patients.
• A deductible is the out-of-pocket amount a patient must pay before their insurance covers further costs.
• Cost sharing encompasses deductibles, copayments, and coinsurance payments.
• Diagnosis Related Groups (DRGs) help provide extended treatment and extra days for hospitalized patients.
• The Affordable Care Act (ACA) is financed through multiple channels, including public funding from a single-payer system.
• Coinsurance represents a percentage of healthcare costs the patient pays after meeting the deductible, such as 20% with the insurance covering the remainder.
• Healthcare disparity indicates unequal access and treatment among different populations.
• Major sources of healthcare financing in the U.S. include Medicare, Medicaid, federal taxes, and commercial insurance.