10:501:260 Lecture Notes - Lecture 2: Health Insurance Marketplace, Economic Opportunity Act Of 1964, Indian Health Service
30 Oct 2017
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Lecture #2,3: benchmark developments in u. s. health care (*** = important (red)) Acquire knowledge of major legislative, economic, organizational and professional influences in health care delivery system evolution including major features and implementation timetable of the patient protection and affordable care act of 2010. Understand how benchmark developments continue to affect medical education, scientific advancement, costs and consumer expectations. Until 1940s, health care industry and its services was controlled by physicians and hospitals. Patient/doctor relationships were considered sacred; all treatments and payments were confidential. A statement put forth during testimony for the social security amendment by ama in 1934: No third party must be permitted to come between patient and physician in any medical matter. With the introduction of health insurance, a dramatic alteration in physician/patient relationship. Patients no longer directly paid for services; services were covered by insurance. This distanced patients from awareness of costs of services and the responsibility for making decisions for services.
