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Terms in this set (414)
Providers Are people or organizations that provide health
care, including doctors, nurses, clinics, and
agencies.
facilities are places where care is delivered or administered,
including, hospitals, long-term care facilities or
nursing homes, and treatment centers.
Payers people or organizations paying for healthcare
services
long term care (LTC) facilities, also called "nursing homes," "skilled
nursing facilities," and "extended care facilities" are
for people who need 24-hour skilled care.
Skilled care is medically necessary care given by a skilled nurse
or therapist. Lo0ng-term care assists those with on-
going conditions
, Assisted living facilities are residences for people who need some
help with daily care, such as showers, meals, and
dressing
(HHA typically work here)
Adult day services are for people who need some help and
supervision during certain hours, but who do not
live in the facility where care is provided
Acute care 24-hour skilled care given in hospitals and
ambulatory surgical centers for people who
require short-term, immediate care for illnesses or
injuries
Subacute care Is care given in a hospital or in a long term care
facility. It is used for people who need less care
than acute (sudden onset short-term) illness, but
more care than for a chronic (long-term) illness.
Rehabilitation is care given by specialists. Physical, occupational,
and speech therapists help restore or improve
function after an illness or injury.
Hospice Care is given in facilities or homes for people who have
approximately six months or less to live
traditional insurance companies offer plans that pay for the heath care of plan
members. Most people covered by traditional
insurance are part of plan at their place of work.
The costs are paid for by the employer, the
employee, or shared by both.