Healthcare system models, health policy vocabulary, and access-to-care concepts tested at the introductory public health level.
30 cards · basic cards · AI-written, checked twice. Edit anything.
- What is the Beveridge Model of health care financing?
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Health care is funded through general taxation, and the government owns and operates the providers.- What is the Bismarck Model of health care financing?
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Employers and employees jointly fund insurance through mandatory payroll contributions to nonprofit sickness funds.- What is the National Health Insurance Model?
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A government run insurance program, funded by payroll or general taxes, pays private providers for care.- What is the Out-of-Pocket Model of health care?
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Individuals pay directly for care with no insurance or government coverage.- What is a single-payer health system?
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One public entity, usually the government, finances health care for the entire population.- What does universal health coverage (UHC) mean?
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All people have access to needed health services without financial hardship.- What is a health insurance premium?
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The regular amount paid to maintain insurance coverage, regardless of use.- What is a deductible in health insurance?
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The amount a policyholder must pay out of pocket before insurance starts covering costs.- What is a copayment (copay)?
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A fixed dollar amount paid by the patient for a covered service.- What is coinsurance?
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The percentage of a covered service's cost that the patient pays after meeting the deductible.- What is an out-of-pocket maximum?
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The most a policyholder must pay for covered services in a plan year before insurance covers the rest in full.- What is cost-sharing in health insurance?
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The general term for the portion of care costs a patient pays, such as deductibles, copays, and coinsurance.- What is capitation as a provider payment method?
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Providers receive a fixed amount per enrolled patient, regardless of the services provided.- What is fee-for-service payment?
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Providers are paid separately for each individual service or procedure performed.- What is gatekeeping in a health care system?
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A requirement that patients see a primary care provider before accessing specialist care.
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