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?
- Health care is funded through general taxation, and the government owns and operates the providers.
- What is the Bismarck Model of health care financing?
- Employers and employees jointly fund insurance through mandatory payroll contributions to nonprofit sickness funds.
- What is the National Health Insurance Model?
- 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?
- Individuals pay directly for care with no insurance or government coverage.
- What is a single-payer health system?
- One public entity, usually the government, finances health care for the entire population.
- What does universal health coverage (UHC) mean?
- All people have access to needed health services without financial hardship.
- What is a health insurance premium?
- The regular amount paid to maintain insurance coverage, regardless of use.
- What is a deductible in health insurance?
- The amount a policyholder must pay out of pocket before insurance starts covering costs.
- What is a copayment (copay)?
- A fixed dollar amount paid by the patient for a covered service.
- What is coinsurance?
- The percentage of a covered service's cost that the patient pays after meeting the deductible.
- What is an out-of-pocket maximum?
- 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?
- 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?
- Providers receive a fixed amount per enrolled patient, regardless of the services provided.
- What is fee-for-service payment?
- Providers are paid separately for each individual service or procedure performed.
- What is gatekeeping in a health care system?
- A requirement that patients see a primary care provider before accessing specialist care.