HLST 4110 Chapter Notes - Chapter 5: Prescription Drug, Chemotherapy, Cardiology
24 Apr 2021
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U2 m5 readings- germany, united kingdom, all groups. Germany - group a & group b: health insurance is mandatory in germany. Germans earning more than usd 68,000 can opt out of. There are no government subsidies for private insurance. Health care delivery and payment (shi only): primary and outpatient specialist physicians: typically work in solo (56%) or dual private practices. Fee-for-service payment negotiated between sickness funds and regional provider associations. Quarterly payment caps limit reimbursement to maximum number of patients and treatments per patient. Physicians cannot charge above fee schedule for covered services. Specialists: are organized and paid as gps are. Gps: hospitals: are a roughly equal mix of public and private, with the latter mostly nonprofit. Statutory health insurance covers inpatient and ambulatory-based mental health care. Fee-for-service payment is used for ambulatory-based mental health care. Long-term care services: are covered separately under mandatory statutory long-term care insurance, funded by 3. 05 percent wage contribution (shared by employers and employees).
