Jeoparty

• Medicare Part D is used to cover prescription drugs.
• Queuing, first instated in Canada in order to conserve resources, is why people often have long wait times for a medical procedure.
• Originally, children in families who have an income above that eligible for Medicaid but below 200% (before ACA) or 300% (after ACA) above the federal poverty line qualify for CHIP.
• Pregnant patients are eligible for CHIP if their income is up to 185% of the federal poverty line.
• Of all the patients who are eligible for Medicare, elderly over 65 constitute the largest porportion.
• Quality assurance measures is how the federal government assesses state performance for CHIP services.
• PSA blood test is an example of why the technological imperative could have been harmful to otherwise healthy patients.
• Capitation refers to how payments are made from insurance companies to physicians under an HMO model.
• Law of declining marginal returns is the reason why the value of consecutive tests (that increase in cost as you go on) may be minimal in healthcare today.
• California will be the first state to offer Medicaid insurance to adult undocumented immigrants below the age of 65.
• Low income, elderly who are low income, and disability are the three categories of patients who are eligible for Medicaid.
• Medicaid is funded by federal and state.
• Adverse selection describes the reason why Medigap insurance policies are usually so expensive to patients.
• Technological impairment is the reason why, in the U.S., providers are trained to ignore the cost of a new treatment when considering its use in therapy.
• California pays for CHIP through the expansion in eligibility of Medicaid.
• Premiums are the regular, monthly payments patients make on their health insurance.
• The donut hole is the part of Part D coverage where a patient is mostly responsible for paying their own prescription drugs.
• In response to rising costs to Medicare, the government enacted Medicare Part C to shift to HMO models.
• Out of pocket limit refers to the maximum amount a patient has to pay before their insurance will cover 100% of their medical costs.
• Coinsurance refers to the amount of money a patient pays for medical service after their deductible has been paid (it is usually a percentage).
• Network model is an HMO subtype that involves the HMO contracting a healthcare system which may see patients from other types of HMOs as well.
• Fee for service or internal model capitation is a non-HMO model payment system to pay physicians.
• A high deductible, low premium type of plan is ideal for younger, healthier individuals.
• Because of rising costs, Medicaid shifted their health plans to HMO managed care model in an effort to reduce costs.
• The Affordable Care Act is a major piece of legislation that expanded Medicaid eligibility to children with family incomes up to 300% of the federal poverty line.
• Monopsony refers to an economic market where there is only one buyer but multiple sellers.
• H S A refers to the type of bank account that can only be used to pay for healthcare. It does roll over from year to year.
• PACE refers to the Medicaid program intended to help adults age 55+ live independently.