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Communications · Studypool

PA 2 Activity 1

Post ID: 3075313

Overview

Activity 1

Fill in the blanks with the correct terms from the word bank below.

health maintenance organization (HMO)

preferred provider organization (PPO)

diagnosis-related group (DRG)

catastrophic cap

individual mandate

high-deductible health plan (HDHP)

multi-payer system

capitation

universal coverage

copay

single-payer system

fee-for-service

  1. A(n)_______________ establishes in advance what a funding agency will pay for specified procedures.
  2. A patient with a managed care plan typically pays a(n)_____________ when they visit a care provider.
  3. A(n) ______________ plan qualifies members to establish tax-exempt health savings accounts.
  4. In a(n) _______________system, patients and insurers pay charges established by health care providers for the care they provide.
  5. A(n) _____________typically hires health professionals, pays them a salary, and provides them with office and administrative support.
  6. A(n) _______________offers a discounted fee to health care professionals who treat patients in their own offices.
  7. Imagine that you have agreed to pay 20% of your medical expenses out of pocket and your medical bills are excessive. A(n) ____________ establishes the upper limit you will have to pay.
  8. If a health organization receives a set fee to care for a patient over a particular amount of time, regardless of how much care the patient requires, this is called ____________________.
  9. Assurance that all citizens will receive health services regardless of age, ability to pay, or any other factor is known as____________________ .
  10. In a(n) ___________, one source, such as a government agency or national health insurance company, pays the bills for all essential health care services.
  11. In a(n)________________ , health insurance is provided by a variety of sources including private companies and government programs.
  12. The _____________ provision in the Affordable Care Act requires U.S. residents to maintain health insurance.

Activity 2

You read about the challenges of navigating the health care system, and perhaps you have experienced it yourself. In this video, a patient describes how a patient navigator helped her.

https://www.youtube.com/watch?v=rEhRpsKHrrkLinks to an external site.b9b6f21d29db92c885dc3fa2(2:06 mins)

  • What role does (or might) communication play in navigating the health care system?
  • Have you ever wished that someone could help you or a loved one figure out how to navigate the health care system? If so, what sort of information would have been helpful to you?

Activity 3

This video by Complexly (an educational video company) and the American Public Health Association describes some of the factors that contribute to health inequities.

“What is Health Equity?” (3:53 mins)

https://www.youtube.com/watch?v=Arpzx6TJuQILinks to an external site.b9b6f21d29db92c885dc3fa2

  • Based on the video, what factors place some groups of people at greater risk of health concerns while also reducing their access to health care and health information?
  • How might people with limited resources be affected when health information is posted online?
  • What role might communication play in helping to diminish health disparities?
Activity 4: Affordable Care Act

Review

The Affordable Care Act includes a number of provisions, including the following:

  • subsidies to help low-income citizens pay for insurance
  • an individual mandate requiring everyone to have health insurance
  • a requirement that all health insurance policies cover basic services
  • a provision allowing children to remain on their parents’ insurance until age 26
  • a rule that insurance companies cannot deny coverage to people with pre-existing conditions

Questions

  • Which of these issues concern you the most? The least?
  • As of this writing, the individual mandate requiring everyone to have coverage is not being enforced. What are the pros and cons of an individual mandate, as you see them?
  • Aside from requiring everyone to buy insurance, how might a society pay for universal coverage?
  • What roles does communication play in health care reform?

Activity 5: Your homework requires you to get familiar with each of the insurance types. So make sure you read on the different types of insurance in your textbook. Answer the following question in your own words:

  • What is HMO?
  • What is PPO?
  • What is a high deductible health plan?

Activity 6

For each of the following, write an in-text and reference list citation using APA style. Use the following resource to guide you on how to do this: APA Reference list examples.docx

Actions

News article

https://www.pbs.org/newshour/health/poor-people-and-people-of-color-get-less-sleep-thats-bad-for-health-and-wealthLinks to an external site.

In-text citation:

Reference list citation:

Journal article

https://www.annualreviews.org/doi/pdf/10.1146/annurev.soc.30.012703.110622Links to an external site.

In-text citation:

Reference list citation:

Website

https://www.cdc.gov/healthyyouth/disparities/index.htm#:~:text=Health%20disparities%20are%20preventable%20differences,1Links to an external site.

In-text citation:

Reference list citation: