Provider-Sponsored Organizations
Medically Uninsured
Safety-net Providers
Uncompensated Care
Safety
Medical Indigency
Health Services Accessibility
Community Health Centers
Medicaid
United States
Economics, Medical
Managed Care Programs
Safety Management
Vaccine Potency
Health Care Surveys
State Health Plans
Hospitals, Voluntary
Hospitals, Proprietary
Differences in mortality for surgical cancer patients by insurance and hospital safety net status. (1/8)
(+info)Access, interest, and attitudes toward electronic communication for health care among patients in the medical safety net. (2/8)
(+info)Proximity to safety-net clinics and HPV vaccine uptake among low-income, ethnic minority girls. (3/8)
(+info)Knowledge and willingness to provide research biospecimens among foreign-born Latinos using safety-net clinics. (4/8)
(+info)Autonomy versus automation: perceptions of nonmydriatic camera choice for teleretinal screening in an urban safety net clinic. (5/8)
(+info)Health literacy and complementary and alternative medicine use among underserved inpatients in a safety net hospital. (6/8)
(+info)Assessing progress toward becoming a patient-centered medical home: an assessment tool for practice transformation. (7/8)
(+info)The Ask-Advise-Connect approach for smokers in a safety net healthcare system: a group-randomized trial. (8/8)
(+info)A Provider-Sponsored Organization (PSO) is a type of managed care entity that is owned or sponsored by a healthcare provider or group of providers. The main goal of a PSO is to integrate the delivery and financing of healthcare services, with the aim of improving quality, cost-effectiveness, and patient satisfaction.
In a PSO, physicians, hospitals, and other healthcare providers work together to manage the care of a defined population of patients. They may share financial risk and rewards, coordinate care across settings, and use data analytics to identify opportunities for improvement. By aligning incentives and integrating care, PSOs aim to reduce unnecessary utilization, improve clinical outcomes, and enhance patient experience.
PSOs can take various forms, such as hospital-owned health plans, physician-hospital organizations, or clinically integrated networks. They are subject to regulation by state and federal authorities, depending on the specific structure and scope of their operations.
"Medically uninsured" is not a term that has an official medical definition. However, it generally refers to individuals who do not have health insurance coverage. This can include those who cannot afford it, those who are not offered coverage through their employer, and those who are ineligible for government-sponsored programs like Medicaid or Medicare. Being medically uninsured can lead to financial strain if an individual experiences a medical emergency or needs ongoing care, as they will be responsible for paying for these services out of pocket.
Safety-net providers are healthcare organizations or clinicians that offer care to uninsured, Medicaid, and other vulnerable patients who often face economic and social barriers to accessing healthcare services. These providers typically operate in underserved areas and offer a range of medical, dental, and mental health services, regardless of a patient's ability to pay. They often receive additional public funding and are required to provide care to all individuals who seek it, regardless of their insurance status or ability to pay. Examples of safety-net providers include community health centers, public hospitals, and some federally qualified health centers (FQHCs).
Uncompensated care refers to healthcare services provided by hospitals or other healthcare providers that are not paid for by the patient or by third-party payers such as insurance companies. This can include both charity care, where services are provided for free or at reduced costs to patients who cannot afford to pay, and bad debt, where services are provided but remain unpaid because the patient is unable or unwilling to pay their bills. Uncompensated care is a significant issue for many hospitals, particularly those that serve large numbers of low-income or uninsured patients, as it can result in significant financial losses for the institution.
In the context of healthcare, "safety" refers to the freedom from harm or injury that is intentionally designed into a process, system, or environment. It involves the prevention of adverse events or injuries, as well as the reduction of risk and the mitigation of harm when accidents do occur. Safety in healthcare aims to protect patients, healthcare workers, and other stakeholders from potential harm associated with medical care, treatments, or procedures. This is achieved through evidence-based practices, guidelines, protocols, training, and continuous quality improvement efforts.
Medical indigence is a term used to describe a person's inability to pay for necessary medical care due to financial constraints. This can occur when an individual lacks sufficient health insurance coverage, has limited financial resources, or both. In many cases, medical indigence can lead to delayed or avoided medical treatment, which can result in more severe health conditions and higher healthcare costs in the long run.
In some jurisdictions, laws have been enacted to provide relief for medically indigent individuals by requiring hospitals or healthcare providers to provide care regardless of a patient's ability to pay. These programs are often funded through a combination of government funding, hospital funds, and charitable donations. The goal of these programs is to ensure that all individuals have access to necessary medical care, regardless of their financial situation.
Health services accessibility refers to the degree to which individuals and populations are able to obtain needed health services in a timely manner. It includes factors such as physical access (e.g., distance, transportation), affordability (e.g., cost of services, insurance coverage), availability (e.g., supply of providers, hours of operation), and acceptability (e.g., cultural competence, language concordance).
According to the World Health Organization (WHO), accessibility is one of the key components of health system performance, along with responsiveness and fair financing. Improving accessibility to health services is essential for achieving universal health coverage and ensuring that everyone has access to quality healthcare without facing financial hardship. Factors that affect health services accessibility can vary widely between and within countries, and addressing these disparities requires a multifaceted approach that includes policy interventions, infrastructure development, and community engagement.
Community Health Centers (CHCs) are primary care facilities that provide comprehensive and culturally competent health services to medically underserved communities, regardless of their ability to pay. CHCs are funded through various sources, including the federal government's Health Resources and Services Administration (HRSA). They aim to reduce health disparities and improve health outcomes for vulnerable populations by providing access to high-quality preventive and primary care services.
CHCs offer a range of services, such as medical, dental, and behavioral health care, as well as enabling services like case management, transportation, and language interpretation. They operate on a sliding fee scale basis, ensuring that patients pay based on their income and ability to pay. CHCs also engage in community outreach and education to promote health awareness and prevention.
Medicaid is a joint federal-state program that provides health coverage for low-income individuals, including children, pregnant women, elderly adults, and people with disabilities. Eligibility, benefits, and administration vary by state, but the program is designed to ensure that low-income individuals have access to necessary medical services. Medicaid is funded jointly by the federal government and the states, and is administered by the states under broad federal guidelines.
Medicaid programs must cover certain mandatory benefits, such as inpatient and outpatient hospital services, laboratory and X-ray services, and physician services. States also have the option to provide additional benefits, such as dental care, vision services, and prescription drugs. In addition, many states have expanded their Medicaid programs to cover more low-income adults under the Affordable Care Act (ACA).
Medicaid is an important source of health coverage for millions of Americans, providing access to necessary medical care and helping to reduce financial burden for low-income individuals.
I'm sorry for any confusion, but "United States" is a geopolitical entity, specifically the name of the country consisting of 50 states, and it is not a medical term or concept. Therefore, I can't provide a medical definition for it. If you have any questions related to health, medicine, or biology, I would be happy to try to help answer those!
"Medical Assistance" is a term used in the United States that primarily refers to government-funded health care programs for individuals who are unable to afford medical care on their own. The most well-known program is Medicaid, which is a joint federal-state program that provides health coverage for low-income individuals, including children, pregnant women, elderly adults, and people with disabilities.
Medical Assistance can also refer to other government-funded programs that provide financial assistance for medical care, such as the Children's Health Insurance Program (CHIP), which provides low-cost health insurance for children in families who earn too much to qualify for Medicaid but still cannot afford private insurance.
In general, Medical Assistance programs are designed to help ensure that all individuals have access to necessary medical care, regardless of their ability to pay. These programs are funded through a combination of federal and state funds, and eligibility criteria and benefits may vary from state to state.
Medical economics is a branch of economics that deals with the application of economic principles and concepts to issues related to health and healthcare. It involves the study of how medical care is produced, distributed, consumed, and financed, as well as the factors that influence these processes. The field encompasses various topics, including the behavior of healthcare providers and consumers, the efficiency and effectiveness of healthcare systems, the impact of health policies on outcomes, and the allocation of resources within the healthcare sector. Medical economists may work in academia, government agencies, healthcare organizations, or consulting firms, contributing to research, policy analysis, and program evaluation.
Managed care programs are a type of health insurance plan that aims to control healthcare costs and improve the quality of care by managing the utilization of healthcare services. They do this by using a network of healthcare providers who have agreed to provide services at reduced rates, and by implementing various strategies such as utilization review, case management, and preventive care.
In managed care programs, there is usually a primary care physician (PCP) who acts as the patient's main doctor and coordinates their care within the network of providers. Patients may need a referral from their PCP to see specialists or access certain services. Managed care programs can take various forms, including Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), Point-of-Service (POS) plans, and Exclusive Provider Organizations (EPOs).
The goal of managed care programs is to provide cost-effective healthcare services while maintaining or improving the quality of care. They can help patients save money on healthcare costs by providing coverage for a range of services at lower rates than traditional fee-for-service plans, but they may also limit patient choice and require prior authorization for certain procedures or treatments.
Safety management is a systematic and organized approach to managing health and safety in the workplace. It involves the development, implementation, and monitoring of policies, procedures, and practices with the aim of preventing accidents, injuries, and occupational illnesses. Safety management includes identifying hazards, assessing risks, setting objectives and targets for improving safety performance, implementing controls, and evaluating the effectiveness of those controls. The goal of safety management is to create a safe and healthy work environment that protects workers, visitors, and others who may be affected by workplace activities. It is an integral part of an organization's overall management system and requires the active involvement and commitment of managers, supervisors, and employees at all levels.
Vaccine potency is a measure of the ability of a vaccine to induce an immune response in the recipient, typically measured by its ability to stimulate the production of antibodies or activate immune cells. It is usually expressed as the amount of antigen contained in the vaccine or the dose required to produce a specific level of immunity in a certain percentage of vaccinated individuals.
Potency testing is an important part of vaccine manufacturing and quality control, as it helps ensure that each batch of vaccine contains sufficient levels of active ingredients to provide protection against the targeted disease. Vaccine potency may be affected by various factors, including the age and health status of the recipient, the route of administration, and the storage and handling conditions of the vaccine.
Health care surveys are research tools used to systematically collect information from a population or sample regarding their experiences, perceptions, and knowledge of health services, health outcomes, and various other health-related topics. These surveys typically consist of standardized questionnaires that cover specific aspects of healthcare, such as access to care, quality of care, patient satisfaction, health disparities, and healthcare costs. The data gathered from health care surveys are used to inform policy decisions, improve healthcare delivery, identify best practices, allocate resources, and monitor the health status of populations. Health care surveys can be conducted through various modes, including in-person interviews, telephone interviews, mail-in questionnaires, or online platforms.
"State Health Plans" is a general term that refers to the healthcare coverage programs offered or managed by individual states in the United States. These plans can be divided into two main categories: Medicaid and state-based marketplaces.
1. **Medicaid**: This is a joint federal-state program that provides healthcare coverage to low-income individuals, families, and qualifying groups, such as pregnant women, children, elderly people, and people with disabilities. Each state administers its own Medicaid program within broad federal guidelines, and therefore, the benefits, eligibility criteria, and enrollment processes can vary from state to state.
2. **State-based Marketplaces (SBMs)**: These are online platforms where individuals and small businesses can compare and purchase health insurance plans that meet the standards set by the Affordable Care Act (ACA). SBMs operate in accordance with federal regulations, but individual states have the flexibility to design their own marketplace structure, manage their own enrollment process, and determine which insurers can participate.
It is important to note that state health plans are subject to change based on federal and state laws, regulations, and funding allocations. Therefore, it is always recommended to check the most recent and specific information from the relevant state agency or department.
Voluntary hospitals, also known as non-profit or private hospitals, are medical institutions that are privately owned and operated, typically by a charitable organization or community group. They are called "voluntary" because they are not run by the government and rely on donations, grants, and other forms of financial support from the community to operate.
Voluntary hospitals can be religious or secular in nature and often have a mission to serve specific populations or provide care for underserved communities. They may offer a range of medical services, including emergency care, inpatient and outpatient care, diagnostic testing, and specialized treatments.
These hospitals are typically governed by a board of directors made up of community members and are required to operate on a non-profit basis, meaning that any revenue generated must be reinvested into the hospital's operations or mission rather than distributed to shareholders or owners. Voluntary hospitals may also receive funding from government sources such as Medicare and Medicaid, but they are not owned or operated by the government.
Proprietary hospitals, also known as private for-profit hospitals, are healthcare institutions that are owned and operated by a private company or individual with the primary goal of generating a profit. These hospitals are funded through patient fees, investments, and other sources of revenue. They are required to meet state and federal regulations regarding patient care and safety but may have more flexibility in making business decisions compared to non-profit or government-owned hospitals.
Patient safety is defined as the prevention, reduction, and elimination of errors, injuries, accidents, and other adverse events that can harm patients during the delivery of healthcare. It involves the creation of a healthcare environment that is safe for patients, where risks are minimized, and patient care is consistently delivered at a high quality level. Patient safety is an essential component of healthcare quality and is achieved through evidence-based practices, continuous improvement, education, and collaboration among healthcare professionals, patients, and their families.