Arizona State University Health Care Systems in the U.S HCD 330 Study Guide for Exam. #2 Covers Theme 2  Chapters 4, 5, 7, 8 & 9 in your Niles text  Khan Academy Modules (lots of overlap with chapter 8)  Two PowerPoints (PPt’s): Medicaid Example, Overview of the ACA and Private Financing (both in Week 4 folder).

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HCD 330 Study Guide for Exam #2 Covers Theme 2  Chapters 4, 5, 7, 8 & 9 in your Niles text  Khan Academy Modules (lots of overlap with chapter 8)  Two PowerPoints (PPt’s): Medicaid Exam... ple, Overview of the ACA and Private Financing (both in Week 4 folder) Chapter 4 # of exam questions from chapter 4 = 5  Describe the following agencies or organizations and identify their primary responsibilities: Chapter 5 # of exam questions = 5  Define public health and identify its core functions (according to the American Public Health Association) Chapter 7 # of exam questions = 5  Discuss the geographic maldistribution of physicians – Has occurred because physicians like to practice in urban and suburban areas where there is a higher probability of increased income. Recruiting physicians to rural areas is difficult because of the working conditions, reduce income, and reduce access to technology.  Identify the National Practitioner Data Bank Khan Academy Modules (including Practice: health care exercise questions) # of exam questions = 7  Define risk sharing  Explain and differentiate the following types of health insurance: Medicaid, Medicare, employersponsored health insurance  Identify what portion of the population is covered by the various types of insurance (i.e. Medicaid, Medicare, employer-sponsored health insurance, self-insured). Chapter 8 # of exam questions = 9  Discuss the different cost-sharing strategies in health insurance plans Chapter 9 # of exam questions = 6  Defined managed care – A healthcare delivery system organized to manage cost, utilization, and quality. Refers to the cost management of healthcare services by contolling who the consumer sees and how much the service costs.  Differentiate between the types of managed care models (e.g. HMOs, PPOs, EPOs, etc.) Medicaid Example PowerPoint # of exam questions = 2  Identify issues associated with disparities in health outcomes  Identify the entity who determines Medicaid eligibility requirements, benefits, cost-sharing, and reimbursement rates to providers [hint – it’s the states. Arizona is the Medicaid Example in the PowerPoint. Arizona’s version of Medicaid is the Arizona Health Care Cost Containment System (AHCCCS)]  Describe the eligibility requirements for Medicaid in Arizona (AHCCCS) [Show More]

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