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FMYJ Health System in the United States Questions
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CHAPTER 4: Financing Health Systems
- Describe the size of the U.S. health care industry in financial terms, and discuss the growth in health care expenditures.
- Describe the three main types of health insurance in the United States, referring specifically to voluntary health insurance, social health insurance, and welfare medicine.
- Briefly describe Medicare Parts A, B, C, and D.
- Briefly describe the Medicaid program.
- Discuss the methods of physician reimbursement in the United States.
- Provide an overview of the prospective payment system.
CHAPTER 5: Private Health Insurance and Managed Care
- What is insurance, and why is it used?
- Describe the three methods for categorizing health insurance in the United States.
- Briefly describe the differences among commercial insurance industry, the Blues, and HMOs.
- What is managed care? List the main objectives of managed care.
- List the common managed-care practices designed to influence physician behavior.
- Describe the impact of managed care on both the Medicare and Medicaid programs.
- Discuss the conflict of interest inherent in managed care.
- Briefly describe the characteristics of the uninsured population in the United States.