CAS SO 215 Lecture 1: Lecture 1
21 Mar 2019
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Insurance compannies: gov, u. s spends the most on healthcare: about 3 trillion dollars, employer sponsored insurance, why: they were incentivized because they can pay with pre-tax dollars, can mean employees go without insurance in between jobs. Joint by federal and state: eligibility differs based on resident state, poor people covered, medicare, over 65, chip, poor children, 1996 under clinton, uninsured, lowering. Deductibles: out of pocket and then once deductibles are done then insurance kicks in. Copays: pay for some amount of the treatment. Fee-for-service: provider bills for each service, from a sort of menu: copay is deducted from the fee. Prospective vs retrospective: retro: after you pay for service, provider is reimbursed. History of us healthcare: blues (1930-40"s, non-profit, began because people didn"t have enough to pay up after world war, hmo"s.
