Types of Health Care Facilities and Insurance Plans
Hospice agencies
Agencies that provide care for terminally ill individuals, focusing on palliative care and support for the patient and family
Home healthcare agencies
Agencies that provide care in a patient's home, including nursing care, therapy, and homemaking services
Office of the National Coordinator for Health Information Technology (ONC)
Agency that leads national efforts to build a private and secure nationwide health information exchange
Deductibles
Amounts that must be paid by the patient for medical services before the insurance policy begins to pay
Managed care
Approach to health care that focuses on efficient spending and quality of care
Centers for Disease Control and Prevention (CDC)
Division of the USDHHS concerned with the causes, spread, and control of diseases in populations
National Institutes of Health (NIH)
Division of the USDHHS involved in researching diseases and conducting scientific studies
Independent living facilities
Facilities that allow individuals to rent or purchase an apartment and provide basic medical care and services
Residential care facilities
Facilities that offer basic care for individuals who are unable to care for themselves
Long-term care facilities (LTCs)
Facilities that provide assistance and care for elderly patients and individuals with disabilities or chronic illnesses
Assisted living facilities
Facilities that provide services such as meals, housekeeping, and basic medical care for individuals who can care for themselves
Agency for Healthcare Research and Quality (AHRQ)
Federal agency established to improve the quality, safety, efficiency, and effectiveness of health care in the United States
Food and Drug Administration (FDA)
Federal agency responsible for regulating food, drug products, medical devices, cosmetics, and other consumer products
Occupational Safety and Health Administration (OSHA)
Federal agency that establishes and enforces standards to protect workers from job-related injuries and illnesses
Medicare
Federal government program that provides health care for individuals over 65, those with disabilities, and those with end-stage renal disease
Health Insurance Portability and Accountability Act (HIPAA)
Federal law that protects health insurance coverage and establishes standards for health care information privacy and security
Patient Protection and Affordable Care Act (PPACA)
Federal law that provides major changes to health care insurance, including guaranteed issue, Medicaid expansion, insurance exchanges, and individual mandates
Private hospitals
For-profit hospitals operated by private entities
Health maintenance organizations (HMOs)
Health care delivery systems and insurance plans that primarily focus on preventive care
Workers' compensation
Health insurance plan providing treatment for workers injured on the job
Medigap policy
Health insurance plan that helps pay medical expenses not covered by Medicare
Value-based compensation
Health payment plan in which providers are paid based on their performance
Fee-for-service compensation
Health payment plan in which providers are paid for each service rendered
Government hospitals
Hospitals operated by federal, state, or local government agencies
Religious hospitals
Hospitals operated by religious organizations
Nonprofit hospitals
Hospitals operated for charitable purposes, providing medical care to the community
General hospitals
Hospitals that offer a wide range of medical services and treat patients of all ages and conditions
Specialty hospitals
Hospitals that specialize in providing care for specific conditions or age groups
World Health Organization (WHO)
International agency sponsored by the United Nations that compiles health statistics, publishes health information, and addresses global health problems
Hospitals
Major health care facilities that provide a wide range of services for various conditions and age groups
Preferred provider organization (PPO)
Managed care health insurance plan that contracts with specific health care agencies to provide care at reduced rates
Medicaid
Medical assistance program jointly funded by the federal government and state governments, providing health care for low-income individuals
U.S. Department of Health and Human Services (USDHHS)
National agency responsible for protecting the health of Americans and providing grant money for health care
Concierge medicine
Personalized health care provided by a primary care physician for an annual or monthly fee
Co-insurance
Requires the patient and insurance company to share specific percentages of expenses
Emergency care services
Services that provide specialized care for victims of accidents or sudden illness
Co-payment
Specific amount of money a patient pays for a particular service
TRICARE
U.S. government health insurance plan for military personnel and their families
