H210 Chapter Notes
-Health Care consumes over 16% of U.S gross domestic product and exceeds $1.5 trillion
-Physicians are concerned that managed care may constrain expenditures without
adequate regard for the quality of care.
Newspaper Analysis 10
This week, one of the many things we learned about was the way that small
insurance businesses can offer health insurance through the affordable care act. As it
turns out, the ACA may not be as effective at promoting small
Newspaper Analysis 9
This week I read a New York Times article that related the debt that Japan is
facing. Although they are in debt for a plethora of reasons, one of them is because
their health care is simply too inexpensive. People in Japan pa
Newspaper Analysis #7
One thing we read about this week was the percentage of homeless people
that had mental illnesses. The book said it was somewhere between 30-40%, but the
New York Times article I read suggest differently. In fact, it says t
Newspaper Analysis 8
The New York Times article I read this week directly related to what was said
in chapter 17. The article gives an anecdote about a woman who had to watch her
sister die while in excruciating pain during her stage 4 liver can
Newspaper Analysis 5
A topic that was discussed in this weeks reading that I found very interesting
and disturbing was the notion of fee-for-service incentives. The New York Times
article I read also discussed this, suggesting that because the he
Newspaper Analysis 4
One of the many things we went over this week for our reading was the
percentage of elderly people who have access to Medicare. Around 96% of the
population that is 65 and older in America has financial access to it. However
Levels of public health
Community (cultural values, norms)
Schools (environment, ethos)
Interpersonal (social network)
Individual (knowledge and attitude)
You can do public health awareness at any level
Intro to the US Health Care System
1. Whats an ACO? Who do they serve and what organizations are involved?
a. An Accountable Care Organization is a voluntary accumulation of physicians,
hospitals, and other health care provi
Intro to the US healthcare system - H210
Components of a Healthcare system
o Continuum of care
o Preventative primary tertiary- long term
o $ -> insurance/taxes/private employer => payment
o Trained provider
o Technological devices
An ACO is an Accountable Care Organization which is a collection of doctors, hospitals, and
other health care providers that give voluntary high quality medical care to Medicare patients.
The goal of an ACO is to provide high quality care to patients, lik
The series of videos the compile together in the program New Asylum describes the
difficulties of treating patients with mental health disorders behind bars in correctional facilities
in Ohio. They are inmates suffering from disord
Healthcare Budgeting Exercise
To develop an understanding of the economic constraints of living at or near the
To consider the implications of poverty on access to healthcare services
To calculate typical out of pocket costs f
Week 6 Newspaper Article
On the topic of Medicaid, which we talked about this week, it is evident that
there are a few problems with the system. One of those problems is the failure to
reimburse doctors that accept Medicaid payment.
Newspaper Article Analysis
It was mentioned in our assigned reading that babies with abnormally low birth
weights are at higher risk of immediate and longer-term health problems. The New York
Times backs up this point by saying that all time
State Health Insurance Program
In the article by Roni Caryn Rabin about hospitalized children without health insurance
the idea of children dying due to a lack of health insurance is discussed. About seven million
children are without insurance in the Uni
-System: Type of organization thats systematic.
-Our Health System is fragmented (broken up into pieces)
-Consumer: Person who purchases health services (someone else may pay bill but
consumer is always responsible).
-Providers: Doctors, Nur
Inpatient: Overnight stays in hospital.
Outpatient: Leaving hospital after surgery/procedure is done (not staying overnight).
-In hospitals treatment, teaching, and research is done.
-This was when most hospitals began (port cities).
Flexibility of choice of doctors, referrals not needed most of the time, usually more
money than managed care (premium higher).
Limited choice of doctors, more rules for consumers and providers.
Price of i
-Insurance: Financial product that one buys that protects against a financial loss.
-The greater the risk the higher the premium will be.
-Underwriting: Evaluates, classifies, and rates the risk of the individua
-Medicaid is a joint federal state program
-State implements program and pays good portion of program
-Each federal and state have own idea of what should be done with program
-States can apply for an 1115 waiver
*Can make own rules regardi
Methods of MC
2. Discounted Fee-for-service
3. Salary (staff model)
4. Withhold-Keep patients health
-Doctors only see staff model enrolles
-Facilities owned by MCO.
-Heavy Medical outlays (Large amount of cash need
-Long term care can be for kids etc.
-Can be for physical/developmental problem
-Formal, informal long term care.
-Formal: Actually pay for-$
-Informal: Doing work yourselves as family members, in some situations families rotate
and take t
State Health Insurance Program
In an article by Roni Caryn Rabin about hospitalized children without health insurance
the idea of children dying because of lack of health insurance is discussed. About seven million
children are without insurance in the Un
H 210 Midterm Notes
Nothing with delivery of health services
Up through Medicare and Medicaid
o Over 65 (even Bill Gates)
o End stage renal
o No income requirements
o Tax payers (federally funded and administered)
General tax revenue
Intro to the United States Healthcare system
o daily news feed
commonwealthfund.org more focused on health system delivery,
Money.com. how things work
Us ranked at 29th in the world for life expectancy
Newspaper Article 3
This article by the New York Times addresses the shortages of primary care
doctors, something that was mentioned in our assigned readings for the week. The
article was very informative and actually answered some questions
How Do Hospitals Decide Who Get A Bed?
All through the nation and other nations as well, hospitals are deciding who
gets a bed when all of the beds are full. This is a tough decision because it takes so
much into consideration, such as, a persons stabilit