sanctions
coercive (describes actions or practices that use force) measures—often economic, diplomatic, or legal—imposed by countries, international bodies.
sanctions
coercive (describes actions or practices that use force) measures—often economic, diplomatic, or legal—imposed by countries, international bodies.
provision
the act of supplying or making something available.
precipitated
to cause something to happen suddenly, unexpectedly, or prematurely.
efficacy
the ability of a treatment, intervention, or method to produce a desired result or intended effect under ideal, highly controlled scientific testing conditions
imprimatur
a formal declaration authorizing the publication of a book.
paucity
the presence of something in only small or insufficient amounts.
federations
a political or organizational system where smaller, partially self-governing states, provinces, or groups unite under a central authority.
pluralism
a societal framework where diverse groups maintain their unique identities while coexisting and participating equally within a shared political and social system.
apex
the highest point, peak, or tip of something
catchment
a geographic area of land where all flowing surface water and precipitation drains downhill into a single body of water,
ambulatory care
Outpatient medical services provided without an overnight hospital stay
intermediary
a third party who acts as a go-between.
enumeration
the action of establishing a count or making a detailed, ordered list of items.
feeble
lacking physical strength, vigor, or effectiveness.
Managed Care Plans
three major forms of managed care: Purpose is to control cost.
fee-for-service practice with utilization review- whether private insurance company or government agency) assumes the power to authorize or deny payment for expensive medical interventions (hospital admissions, extra hospital days, and surgeries).
preferred provider organizations (PPOs)- insurers contract with a limited number of physicians and hospitals who agree to care for patients, usually on a discounted fee-for-service or, for hospitals, a per diem basis, with utilization review (the insurer authorizing or denying payment for services deemed unnecessary).
health maintenance organizations (HMOs)- are required (except in emergencies) to receive their care from physicians and hospitals within that HMO. -Some HMOs pay physicians and hospitals by more highly bundled units of payment.
Payment for All Services Delivered to All Patients within a Certain Time Period
includes global budget payment of hospitals and salaried payment of physicians. -Global budget payment: a predetermined annual revenue cap to cover all patient services.
Capitation Payment
One payment is made for each patient’s care during a month or year.
Per Diem Payments to Hospitals
paid for all services delivered to a patient during 1 day in hospital.
Episode-Based Payment
paid one sum for all services delivered during one illness or surgical procedure.
Fee-for-Service Payment
The physician or hospital is paid a fee for each office visit, ECG, intravenous fluid, or other service or supply provided.
aggregated
to collect, combine, or gather separate and distinct elements into a single unified whole, mass, or total.
Hospital DRG
a patient classification system that categorizes inpatient hospital stays into groups based on diagnoses, procedures, age, and complications
Global budget
replaces traditional fee-for-service payments with a predetermined annual revenue cap to cover all patient services.
Capitation
the payment of a fee or grant to a doctor
Per diem
each day
expenditures
the act of spending money or incurring a liability to acquire goods, services, or assets
roughly proportional
two quantities scale or change in a similar, consistent pattern, without an exact or perfect mathematical relationship.
quintile
a statistical value that divides a ranked dataset into five equal groups, with each group representing 20% of the total population.
intermediary
an entity—such as a person, broker, or agency—that acts as a middleman or mediator to facilitate communication, negotiations, or transactions between two or more parties
advent
"coming" or "arrival"
in essence
fundamentally, basically, or by its very nature
asymmetry
the lack of equivalence, balance, or proportion between two sides, halves, or parts
until a few decades ago
Racism still exists though.
transient
temporary, passing, or staying only for a short time
chagrin
a feeling of annoyance, embarrassment, or disappointment caused by a failure, mistake, or unexpected outcome