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d10 - Health Care Systems and Policy Chapter 9 Health...

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1 Health Care Systems and Policy Chapter 9 square6 Health United States 2009 square6 KR 4.4 The curriculum must include content related to health care systems. square6 KR 4.4.a Learning Outcome: Students are able to explain the impact of health care policy and administration, different health care delivery systems and current reimbursement issues, policies and regulations on food and nutrition services
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2 Categories of Health Insurance square6 Private square6 Traditional Fee-for-Service square6 Managed Care HMO’s PPO’s Public Insurance square6 Medicare (45 million in 2008)– serves people 65 and older, people with end- stage renal disease, those on SS disability for 2 years, and retired railroad and merchant seaman square6 Part A –Pays for part of hospital care, skilled nursing facility and some home health Based on DRGs square6 Part B - optional insurance with supplemental insurance benefits MNT services for diabetes, nondialysis kidney disease, post-kidney transplant square6 Part D - Prescription Drugs
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3 Medicaid square6 Provides medical care for: square6 Eligible, low income persons square6 Certain low income pregnant women and children square6
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