PUBH 1001 Chapter 11: Chapter 11 Notes

30 views16 pages
30 Jan 2019
School
Department
Course

Document Summary

Chapter 11 notes: health insurance and healthcare systems. Security system for medicare or specific employment requirements for employer-based insurance: medical loss ratio, the ratio of benefit payments paid to premiums collected. Instead, they offered healthcare benefits: community rating, 1950s and 1960s. Imply that patients in an hmo may choose to receive their care outside the system provided by the health plan: pay more out of pocket. What mechanism is available to obtain insurance for those not otherwise eligible for health. Essential health benefits: essential health benefits, health-care services including all of the following, ambulatory patient services, outpatient services, emergency services, hospitalization, maternity and newborn care, mental health and substance use disorder. Including behavioral health treatment: prescription drugs, rehab and habilitative services and devices, those that help patients acquire maintain or improve skills necessary for daily function, laboratory services, preventative and wellness services and chronic disease management, pediatric services. Medicaid immediately upon determination of disability: receive lower payments, half of ssdi.

Get access

Grade+20% off
$8 USD/m$10 USD/m
Billed $96 USD annually
Grade+
Homework Help
Study Guides
Textbook Solutions
Class Notes
Textbook Notes
Booster Class
40 Verified Answers
Class+
$8 USD/m
Billed $96 USD annually
Class+
Homework Help
Study Guides
Textbook Solutions
Class Notes
Textbook Notes
Booster Class
30 Verified Answers

Related Documents

Related Questions