[PUBHLTH 129] - Final Exam Guide - Ultimate 162 pages long Study Guide!
29 Nov 2016
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Chapter 1: major characteristics of u. s. health care delivery. Objective of chapter 1: provide a broad understanding of how health care is delivered in the united states. The primary objectives of a health care delivery system: to enable all citizens to receive health care services whenever needed universal access, to deliver services that are cost-effective and meet certain preestablished standards of quality. Multiple subsystems developed through market forces or the need to take care of certain population segments: managed care (most dominant health care delivery system in the united states today) Financing: private or public entities, but managed care enables these entities to better manage their health care dollars. Delivery mco arranges to provide health care services to the enrollees, either directly or through contracts. Mco implements various types of controls to manage utilization. Payment mco acts as a payer and disburses payments to providers based on capitation or discounted fee arrangements.
