D391 WGU Healthcare Ecosystems
micro hospital
provides service to people in smaller rural areas
Moral Hazard
when you get more medical services than you need at no cost
Adverse selection
When the buyer and seller do not have the same information and you get cost below true cost of
need.
Reimbursement
When insurance companies pay provider
High risk plan
a high premium plan for preexisting conditions
Healthcare quality improvement act
weeds out bad providers and allows for no repurcussions
patient safety and quality improvement act of 2005
improves how they treat patients
Point of service
you pay less when using in network providers. will need referrals for specialists
STEEEP
making changes for better quality care. this can also stop a change to try something else.
Plan do study act
used when making changes or when wanting to
Lean
used to eliminate waste
SHARE
allows provider and patient to explore all options. Goes over benefits and risk.
DECIDE
a decision making approach
Concierge
direct access to care. smaller patient loads and smaller number of providers
Progmattic community service
a bundle of healthcare services
stark law aka physician self referral law
Cant refer to family
Bismark
Used in germany and is covered by a sick fund
Beveridge
government tightly controls cost and is sole owner
