PUBHLTH 2 Lecture Notes - Lecture 19: Health Maintenance Organization, Advanced Practice Registered Nurse, Nurse Practitioner
Document Summary
The act was upheld by the supreme court june, 2012. 18 months, and if disabled for up to 29 months. Advanced practice nurse a registered professional nurse who has earned a masters degree or higher in a particular specialty area. Capitation- a method of insurance companies reimbursing providers such as physicians and nurse practitioners, a pre-set amount for services given to the patients enrolled in their practices. Cultural competence striving to incorporate treatment and care plans embracing of the patient"s culture to ensure that the care and services are congruent with the patient"s culture. Decentralization the lowest level of government control over fiscal and political health care decisions. Deductibles a fee that must be paid in advance before the third party payer will pay its portion. Diagnostic related groupings (drgs) predetermined set fees by grouping similar problems under 468 different categories; a negotiated fee-for-service, per diem, and capitation.
