Topic Review Quiz 2_-902140526.pptx

Topic Review Quiz 2  If a patient is employed in a very large company, the company can obtain contracts will in a lower rates.  Acute care hospitals does not publish their prices for patient to compare and purchase.  Surprise bill out of network services can be charge to a...

Topic Review Quiz 2  If a patient is employed in a very large company, the company can obtain contracts will in a lower rates.  Acute care hospitals does not publish their prices for patient to compare and purchase.  Surprise bill out of network services can be charge to a patient after a few weeks of service in an emergency room.  Safety measure is one example of nurse sensitive indicators.  Joint commission does not conduct inspection with in patients and out patients services to compare costs and payments.  To coordinate care, the doctor will always use the patient’s Electronic Health Record for informational data.  Not all healthcare insurance that cost more is always the Best !  Antitrust Laws – does not prevent company from dominating the market and taking away market competition.  Some facilities cannot survive on their own regardless of being provided with state or federal support.  Certificate of need from the State- When Group of physicians gather together to get an approval from the state to open a facility.  Role Fidelity – means to be faithful to the scope of practice., and It applies to all healthcare workers.  Example of Role Fidelity- patient request to a nurse not to reveal a terminal illness to his family.  Global Budgeting- The best way to encourage care coordination with cost reduction.  One way to improve the health of a population is to be accountable for positives outcomes.  One good example of Serving the best interest of the patient is to manage services and treatments.  Deductible is an amount of money established by the insurance company to be paid by the PATIENT.  Cost sharing includes: Deductible Co payment Coinsurance payments.  The DRG(Diagnosis Related Group) provides prolonged treatments and extra days for patients in the hospital. ACA – AFFORDABLE CARE ACT- IS FINANCED IN SEVERAL WAYS. PUBLIC FUNDING THROUGH THE SINGLE PAYER IS ONE WAY.  Coinsurance -is the percentage of covered health cost the patient is responsible for paying after they met their deductible. Ex.- 20% percent , and the plan covers the rest.  Disparity in Healthcare means- it is not fairly given to all people.  Healthcare in the US are mostly financed by: 1. Medicare 2. Medicaid 3. Federal Taxes 4. Commercial Insurance  THE END… Good Luck Everyone! Professor Szaniszlo