HSC 220 Chapter Notes - Chapter 2: Centers For Medicare And Medicaid Services, Health Insurance Mandate, Health Policy
12 Apr 2018
School
Department
Course
Professor
Document Summary
Four basic modes of paying for health care: out-of-pocket payment. Simplest mode of financing: direct purchase by the consumer of goods and services. Health care is not considered a typical consumer item: need vs. Flow of money: individual, payment, provider, individual private insurance. Private health insurance is considered a third party. Insurer is added to the patient and the health care provider, the two basic parties of health care transaction. Requires two transactions: premium payment from the individual to an insurance plan, payment from the insurance plan to the provider. Aca individual mandate: requirement that most us citizens and legal residents who do not have governmental or private health insurance purchase a private health insurance policy through a federal or state health insurance exchange. Flow of money: individual, premium (financing, health plan, payment, provider, employment-based group private insurance. Employers pay much of the premium that purchases health insurance for their employees.
