WITH COMPLETE SOLUTIONS!!
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Definition
a not-for-profit formed explicitly to serve the public good. Can apply for 501c3 status,
donations are charitable, revenue tax exempt, potentially exempt from
sales and property taxes.
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Nonprofit Public
Business Proprietary
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2 of 126
,Term
When was the Federal Food, Drug, and Cosmetic Act passed?
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1938 1950
1965 1945
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Term
What are value-based payments (VBP)?
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- assistance program that serves low-income people of every age
- patients do not usually pay costs for covered medical expenses
- federal-state program (varies from state to state)
- run by state and local governments within federal guidelines
- a concept by which purchasers of health care (government, employers, and
consumers) and payors (public and private) hold the health care delivery system at large
(physicians and other providers, hospitals, etc.) accountable for both quality and care of
cost
1. effectiveness of care
2.access/availability of care
3. experience of care
4. utilization and risk adjusted utilization
5. health plan descriptive information
6.measures reported using electronic clinical data systems
, - types of Medicare health plans offered by a private company that contracts with
Medicare
- manage out of pocket costs and/or expand coverage and can be an HMO, PPO, FFS,
medical savings plan and more
- sometimes called Medicare Part C
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Definition
A. Sets national standards for electronic health care transactions and code sets,
unique health identifiers, and security
B.Sets expectations that health care providers protect patient health information
C. Gives patients the right to know all disclosures of their health information
D.Supports disclosure of some forms of data - for example, to protect public
health
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What does the Kefauver-Harris Act do? What does the Hill Burton Act do?
When was the Orphan Drug Act passed? The HIPAA Act does the following:
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Term
What is the typical reporting frequency for a grant?
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monthly or quarterly quarterly or annually
weekly or biweekly twice a week to daily
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Term
What is Part B of Medicare covered benefits?
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1. effectiveness of care
2.access/availability of care
3. experience of care
4. utilization and risk adjusted utilization
5. health plan descriptive information
6.measures reported using electronic clinical data systems
- physician services, outpatient care, and some services and supplies
- those eligible and interested must enroll and pay a premium
- higher earners pay more
- also includes out-of-pocket costs
- Since January 1, 2006, everyone with Medicare, regardless of income, health
status, or prescription drug usage has had access to prescription drug coverage
- people must pick a plan during an enrollment period
- Plans include separate drug plans or plans combining prescription drug coverage with
Medicare part A and B
- Most plans have premiums, deductibles, and copays
- sometimes called Medicare Part D
- Took effect on January 1, 2022
- Aims to reduce unexpected bills patients receive after services have been provided and
requires health care providers to communicate with patients prior to furnishing care