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

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1 Health Care Systems and Policy Chapter 9 s Health United States 2009 s KR 4.4 The curriculum must include content related to health care systems. s 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 s Private s Traditional Fee-for-Service s Managed Care HMO’s PPO’s Public Insurance s 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 s Part A –Pays for part of hospital care, skilled nursing facility and some home health Based on DRGs s Part B - optional insurance with supplemental insurance benefits MNT services for diabetes, nondialysis kidney disease, post-kidney transplant s Part D - Prescription Drugs
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3 Medicaid s Provides medical care for: s Eligible, low income persons s Certain low income pregnant women and children s Aged, blind and people with disabilities s Members of families with dependent children in which one parent is absent, incapacitated or unemployed
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4 Table 1.1 National Health Expenditures and Their Share of Gross Domestic Product (GDP), 1980-2019
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d10 - Health Care Systems and Policy Chapter 9 Health...

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