Notes in 03 Health Systems Science

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Published	12/07/2023	Health insurance works by having consumers purchase protection against future risk by paying an upfront {{c1::premium}}
Published	12/07/2023	The premium that a consumer pays for health insurance goes into a pot that the company uses to pay for procedures and care for {{c1::other patients::w…
Published	12/07/2023	The health insurance companies want to get {{c1::many}} people enrolled, so they can maximize the premiums that they get
Published	12/07/2023	Challenges to getting health insurance from a patient perspective:Different ability to {{c1::pay}}Different {{c1::risks}}{{c1::Preventative}…
Published	12/07/2023	Health insurer contract with a "{{c1::network}}" of providers who agree to supply medical services to enrollees at more favorable pricing
Published	12/07/2023	The third party payers for medical insurance are {{c1::commercial/private}} payers and {{c1::government/public}} payers
Published	01/02/2024	The Centers for Medicare and Medicaid Services (CMS) provides health coverage to 160+ million amerricans through {{c1::Medicare}}, {{c1::Medicaid}}, {…
Published	12/07/2023	Medicare is a {{c1::federal}} program while Medicaid is a {{c1::state + federal}} program
Published	12/07/2023	Medicare covers patients {{c1::65::Age}}+ or those that are < 65 and have {{c1::ESRD}}
Published	12/07/2023	Medicaid covers low income {{c1::children}}, low income {{c1::pregnant/post-partum}} women, and low income patients with {{c1::disabilities}}
Published	12/07/2023	{{c1::CHIP}} is an insurance plan for low income children whose parents make too much mone to be on Medicaid and too little to pay for commercial insu…
Published	12/07/2023	Medicare parts:Part A = {{c1::hospitalizations}}Part B = {{c1::outpatient visits}}Part C = {{c1::Advantage}} (additional services)Part D = {{c1::presc…
Published	12/07/2023	Medicare pays some money to {{c1::commercial insurance}} companies to provide healthcare for those on Medicare
Published	12/07/2023	Medicaid also pays some money to {{c1::commercial insurance}} companies to provide adequate health care for people on their plan
Published	12/07/2023	Co-{{c1::insurance}} is paying a certain percentage of the total cost when you go to the doctorCo-{{c1::pay}} is paying a certain set fee (ex. $20) wh…
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Published	01/02/2024	What the Affordable Care Act does:1. Makes affordable health insurance available to {{c1::more}} people (cheaper for those at 100%-400% of the FPL)2. …
Published	12/07/2023	The {{c1::ACA}} also forces health insurance providers to cover essential health benefits like AmbulancesEmergency servicesHospitalizationsMental heal…
Published	12/07/2023	The ACA also extended {{c1::protections}} to certain populationsThose with chronic illnesses, or pre-existing conditionsYoung Adults
Published	12/07/2023	The ACA made it {{c1::easier}} to purchase health insurance without an employer
Published	12/07/2023	Patients with acute or chronic hematologic/oncologic illnesses require frequent, ongoing medical care, so it is important that these patients have ade…
Published	12/07/2023	There is a recent law that forces {{c1::Medicaid}} to cover all costs of clinical trials
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