Individuals or groups with no or inadequate health insurance coverage. Those falling into this category usually comprise three primary groups: the medically indigent (MEDICAL INDIGENCY); those whose clinical condition makes them medically uninsurable; and the working uninsured.
Generally refers to the amount of protection available and the kind of loss which would be paid for under an insurance contract with an insurer. (Slee & Slee, Health Care Terms, 2d ed)
Insurance providing coverage of medical, surgical, or hospital care in general or for which there is no specific heading.
Medical services for which no payment is received. Uncompensated care includes charity care and bad debts.
The condition in which individuals are financially unable to access adequate medical care without depriving themselves and their dependents of food, clothing, shelter, and other essentials of living.
Federal program, created by Public Law 89-97, Title XIX, a 1965 amendment to the Social Security Act, administered by the states, that provides health care benefits to indigent and medically indigent persons.
The degree to which individuals are inhibited or facilitated in their ability to gain entry to and to receive care and services from the health care system. Factors influencing this ability include geographic, architectural, transportational, and financial considerations, among others.
Criteria to determine eligibility of patients for medical care programs and services.
State plans prepared by the State Health Planning and Development Agencies which are made up from plans submitted by the Health Systems Agencies and subject to review and revision by the Statewide Health Coordinating Council.
The term "United States" in a medical context often refers to the country where a patient or study participant resides, and is not a medical term per se, but relevant for epidemiological studies, healthcare policies, and understanding differences in disease prevalence, treatment patterns, and health outcomes across various geographic locations.
Financing of medical care provided to public assistance recipients.
Innovation and improvement of the health care system by reappraisal, amendment of services, and removal of faults and abuses in providing and distributing health services to patients. It includes a re-alignment of health services and health insurance to maximum demographic elements (the unemployed, indigent, uninsured, elderly, inner cities, rural areas) with reference to coverage, hospitalization, pricing and cost containment, insurers' and employers' costs, pre-existing medical conditions, prescribed drugs, equipment, and services.
Status not subject to taxation; as the income of a philanthropic organization. Tax-exempt organizations may also qualify to receive tax-deductible donations if they are considered to be nonprofit corporations under Section 501(c)3 of the United States Internal Revenue Code.
Social welfare organizations with programs designed to assist individuals in need.
A situation in which the level of living of an individual, family, or group is below the standard of the community. It is often related to a specific income level.
Financial assistance provided by the government to indigent families with dependent children who meet certain requirements as defined by the Social Security Act, Title IV, in the U.S.
Agencies established under PL93-641 to coordinate, conduct, and implement state health planning activities. Two primary responsibilities are the preparation of an annual State Health Plan and giving assistance to the Statewide Health Coordinating Council.
Statistical measures of utilization and other aspects of the provision of health care services including hospitalization and ambulatory care.
Facilities which administer the delivery of health care services to people living in a community or neighborhood.
An Act prohibiting a health plan from establishing lifetime limits or annual limits on the dollar value of benefits for any participant or beneficiary after January 1, 2014. It permits a restricted annual limit for plan years beginning prior to January 1, 2014. It provides that a health plan shall not be prevented from placing annual or lifetime per-beneficiary limits on covered benefits. The Act sets up a competitive health insurance market.
Organized services to provide health care for children.
Health insurance coverage for all persons in a state or country, rather than for some subset of the population. It may extend to the unemployed as well as to the employed; to aliens as well as to citizens; for pre-existing conditions as well as for current illnesses; for mental as well as for physical conditions.
Payment by individuals or their family for health care services which are not covered by a third-party payer, either insurance or medical assistance.
National Health Insurance in the United States refers to a proposed system of healthcare financing that would provide comprehensive coverage for all residents, funded through a combination of government funding and mandatory contributions, and administered by a public agency.
Amounts charged to the patient as payer for health care services.
Health insurance plans for employees, and generally including their dependents, usually on a cost-sharing basis with the employer paying a percentage of the premium.
The amounts spent by individuals, groups, nations, or private or public organizations for total health care and/or its various components. These amounts may or may not be equivalent to the actual costs (HEALTH CARE COSTS) and may or may not be shared among the patient, insurers, and/or employers.
Differences in access to or availability of medical facilities and services.
I'm sorry for any confusion, but "California" is a place, specifically a state on the western coast of the United States, and not a medical term or concept. Therefore, it doesn't have a medical definition.
Health services required by a population or community as well as the health services that the population or community is able and willing to pay for.
Revenues or receipts accruing from business enterprise, labor, or invested capital.
Services for the diagnosis and treatment of disease and the maintenance of health.
Social and economic factors that characterize the individual or group within the social structure.
The state of legal insolvency with assets taken over by judicial process so that they may be distributed among creditors.
That distinct portion of the institutional, industrial, or economic structure of a country that is controlled or owned by non-governmental, private interests.
I'm sorry for any confusion, but "Florida" is a geographical location and not a medical term or condition with a specific definition. It is the 27th largest state by area in the United States, located in the southeastern region of the country and known for its diverse wildlife, beautiful beaches, and theme parks. If you have any medical questions or terms that need clarification, please feel free to ask!
Activities concerned with governmental policies, functions, etc.
The level of governmental organization and function below that of the national or country-wide government.
Economic aspects related to the management and operation of a hospital.
An organization of insurers or reinsurers through which particular types of risk are shared or pooled. The risk of high loss by a particular insurance company is transferred to the group as a whole (the insurance pool) with premiums, losses, and expenses shared in agreed amounts.
Tax on the net income of an individual, organization, or business.
Accounting procedures for determining credit status and methods of obtaining payment.
I'm sorry for any confusion, but the term "Oregon" is a geographical location and not a medical concept or condition. It is a state in the Pacific Northwest region of the United States. If you have any questions related to medical topics, I would be happy to help answer those!
Groups of persons whose range of options is severely limited, who are frequently subjected to COERCION in their DECISION MAKING, or who may be compromised in their ability to give INFORMED CONSENT.
Health insurance plans intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. The programs may be provided in a variety of settings, such as HEALTH MAINTENANCE ORGANIZATIONS and PREFERRED PROVIDER ORGANIZATIONS.
The integration of epidemiologic, sociological, economic, and other analytic sciences in the study of health services. Health services research is usually concerned with relationships between need, demand, supply, use, and outcome of health services. The aim of the research is evaluation, particularly in terms of structure, process, output, and outcome. (From Last, Dictionary of Epidemiology, 2d ed)
Federal, state, or local government organized methods of financial assistance.
Decisions, usually developed by government policymakers, for determining present and future objectives pertaining to the health care system.
Federal program, created by Public Law 89-97, Title XVIII-Health Insurance for the Aged, a 1965 amendment to the Social Security Act, that provides health insurance benefits to persons over the age of 65 and others eligible for Social Security benefits. It consists of two separate but coordinated programs: hospital insurance (MEDICARE PART A) and supplementary medical insurance (MEDICARE PART B). (Hospital Administration Terminology, AHA, 2d ed and A Discursive Dictionary of Health Care, US House of Representatives, 1976)
A method of examining and setting levels of payments.
(I'm assuming you are asking for a play on words related to the state of New Jersey, as "New Jersey" is not a medical term.)
Systematic gathering of data for a particular purpose from various sources, including questionnaires, interviews, observation, existing records, and electronic devices. The process is usually preliminary to statistical analysis of the data.
Payments or services provided under stated circumstances under the terms of an insurance policy. In prepayment programs, benefits are the services the programs will provide at defined locations and to the extent needed.
Persons living in the United States of Mexican (MEXICAN AMERICANS), Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin. The concept does not include Brazilian Americans or Portuguese Americans.
Insurance providing a broad range of medical services and supplies, when prescribed by a physician, whether or not the patient is hospitalized. It frequently is an extension of a basic policy and benefits will not begin until the basic policy is exhausted.
The level of governmental organization and function at the national or country-wide level.
Insurance providing benefits for the costs of care by a physician which can be comprehensive or limited to surgical expenses or for care provided only in the hospital. It is frequently called "regular medical expense" or "surgical expense".
Hospital department responsible for the administration and provision of immediate medical or surgical care to the emergency patient.
Payment by a third-party payer in a sum equal to the amount expended by a health care provider or facility for health services rendered to an insured or program beneficiary. (From Facts on File Dictionary of Health Care Management, 1988)
The process of leaving one's country to establish residence in a foreign country.
Programs in which participation is required.
Economic aspects of the field of medicine, the medical profession, and health care. It includes the economic and financial impact of disease in general on the patient, the physician, society, or government.
The actual costs of providing services related to the delivery of health care, including the costs of procedures, therapies, and medications. It is differentiated from HEALTH EXPENDITURES, which refers to the amount of money paid for the services, and from fees, which refers to the amount charged, regardless of cost.
The attitude of a significant portion of a population toward any given proposition, based upon a measurable amount of factual evidence, and involving some degree of reflection, analysis, and reasoning.
Differences of opinion or disagreements that may arise, for example, between health professionals and patients or their families, or against a political regime.
Private, not-for-profit hospitals that are autonomous, self-established, and self-supported.
Planning that has the goals of improving health, improving accessibility to health services, and promoting efficiency in the provision of services and resources on a comprehensive basis for a whole community. (From Facts on File Dictionary of Health Care Management, 1988, p299)
Hospitals owned and operated by a corporation or an individual that operate on a for-profit basis, also referred to as investor-owned hospitals.
A group of people with a common cultural heritage that sets them apart from others in a variety of social relationships.
An acute or prolonged illness usually considered to be life-threatening or with the threat of serious residual disability. Treatment may be radical and is frequently costly.
The containment, regulation, or restraint of costs. Costs are said to be contained when the value of resources committed to an activity is not considered excessive. This determination is frequently subjective and dependent upon the specific geographic area of the activity being measured. (From Dictionary of Health Services Management, 2d ed)
Diagnostic, therapeutic and preventive health services provided for individuals in the community.
Groups of individuals whose putative ancestry is from native continental populations based on similarities in physical appearance.
Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.
The prices a hospital sets for its services. HOSPITAL COSTS (the direct and indirect expenses incurred by the hospital in providing the services) are one factor in the determination of hospital charges. Other factors may include, for example, profits, competition, and the necessity of recouping the costs of uncompensated care.
Professional practice as an employee or contractee of a health care institution.
The concept concerned with all aspects of providing and distributing health services to a patient population.
I'm sorry for any confusion, but the term "Virginia" is not a medical concept or condition that has a defined meaning within the medical field. It is primarily used as a proper noun to refer to a state in the United States, a historical figure, or other non-medical uses.
Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192)
Enumerations of populations usually recording identities of all persons in every place of residence with age or date of birth, sex, occupation, national origin, language, marital status, income, relation to head of household, information on the dwelling place, education, literacy, health-related data (e.g., permanent disability), etc. The census or "numbering of the people" is mentioned several times in the Old Testament. Among the Romans, censuses were intimately connected with the enumeration of troops before and after battle and probably a military necessity. (From Last, A Dictionary of Epidemiology, 3d ed; Garrison, An Introduction to the History of Medicine, 4th ed, p66, p119)
The area of a nation's economy that is tax-supported and under government control.
System of recording financial transactions.
Economic sector concerned with the provision, distribution, and consumption of health care services and related products.
Provisions of an insurance policy that require the insured to pay some portion of covered expenses. Several forms of sharing are in use, e.g., deductibles, coinsurance, and copayments. Cost sharing does not refer to or include amounts paid in premiums for the coverage. (From Dictionary of Health Services Management, 2d ed)
The level of health of the individual, group, or population as subjectively assessed by the individual or by more objective measures.

Explaining the decline in health insurance coverage, 1979-1995. (1/810)

The decline in health insurance coverage among workers from 1979 to 1995 can be accounted for almost entirely by the fact that per capita health care spending rose much more rapidly than personal income during this time period. We simulate health insurance coverage levels for 1996-2005 under alternative assumptions concerning the rate of growth of spending. We conclude that reduction in spending growth creates measurable increases in health insurance coverage for low-income workers and that the rapid increase in health care spending over the past fifteen years has created a large pool of low-income workers for whom health insurance is unaffordable.  (+info)

Challenges in securing access to care for children. (2/810)

Congressional approval of Title XXI of the Social Security Act, which created the State Children's Health Insurance Program (CHIP), is a significant public effort to expand health insurance to children. Experience with the Medicaid program suggests that eligibility does not guarantee children's enrollment or their access to needed services. This paper develops an analytic framework and presents potential indicators to evaluate CHIP's performance and its impact on access, defined broadly to include access to health insurance and access to health services. It also presents options for moving beyond minimal monitoring to an evaluation strategy that would help to improve program outcomes. The policy considerations associated with such a strategy are also discussed.  (+info)

Why are workers uninsured? Employer-sponsored health insurance in 1997. (3/810)

This study examines the number of workers in firms offering employee health plans, the number of workers eligible for such plans, and participation in employer-sponsored insurance. Data from the February 1997 Contingent Worker Supplement to the Current Population Survey indicate that 10.1 million workers are employed by firms offering insurance but are not eligible. Not all of these workers are eligible for coverage, most often because of hours of work. Our results indicate that 11.4 million workers rejected coverage when it was offered. Of those, 2.5 million workers were uninsured. Workers cited high cost of insurance most often as the primary factor for refusing coverage.  (+info)

Employer's willingness to pay: the case for compulsory health insurance in Tanzania. (4/810)

This article documents employers' expenditure on the arrangements for the health care of their employees in one of the least developed countries; Tanzania. The case for compulsory health insurance is considered in the light of the fact that only 3% of the population is employed in the formal sector and could be covered at first. It is shown from a survey of larger employers, outside government, that they were spending on average 11% of payroll on health care for their employees. This demonstrated their lack of satisfaction with the government health services. Nevertheless, those who could readily be covered by insurance were making considerable use of the more expensive government hospital services. It is argued that a compulsory health insurance scheme could be introduced for the formal sector of employment which would cover a wider range of health services at lower cost. The scheme would also have the desirable economic effect of lowering employers' labour costs while making it possible to improve the standards of the government health services.  (+info)

Research note: price uncertainty and the demand for health care.(5/810)

 (+info)

Reform follows failure: I. Unregulated private care in Lebanon. (6/810)

This first of two papers on the health sector in Lebanon describes how unregulated development of private care quickly led to a crisis situation. Following the civil war the health care sector in Lebanon is characterized by (i) ambulatory care provided by private practitioners working as individual entrepreneurs, and, to a small extent, by NGO health centres; and (ii) by a fast increase in hi-tech private hospitals. The latter is fuelled by unregulated purchase of hospital care by the Ministry of Health and public insurance schemes. Health expenditure and financing patterns are described. The position of the public sector in this context is analyzed. In Lebanon unregulated private care has resulted in major inefficiencies, distortion of the health care system, the creation of a culture that is oriented to secondary care and technology, and a non-sustainable cost explosion. Between 1991 and 1995 this led to a financing and organizational crisis that is the background for growing pressure for reform.  (+info)

The potential role of risk-equalization mechanisms in health insurance: the case of South Africa. (7/810)

International agencies such as the World Bank have widely advocated the use of health insurance as a way of improving health sector efficiency and equity in developing countries. However, in developing countries with well-established, multiple-player health insurance markets, such as South Africa, extension of insurance coverage is now inhibited by problems of moral hazard, and associated cost escalation and fragmentation of insurer risk-pools. Virtually no research has been done on the problem of risk selection in health insurance outside developed countries. This paper provides a brief overview of the problem of risk fragmentation as it has been studied in developed countries, and attempts to apply this to middle-income country settings, particularly that of South Africa. A number of possible remedial measures are discussed, with risk-equalization funds being given the most attention. An overview is given of the risk-equalization approach, common misconceptions regarding its working and the processes that might be required to assess its suitability in different national settings. Where there is widespread public support for social risk pooling in health care, and government is willing and able to assume a regulatory role to achieve this, risk-equalization approaches may achieve significant efficiency and equity gains without destroying the positive features of private health care financing, such as revenue generation, competition and free choice of insurer.  (+info)

Pressures on safety net access: the level of managed care penetration and uninsurance rate in a community. (8/810)

OBJECTIVE: To examine the effects of managed care penetration and the uninsurance rate in an area on access to care of low-income uninsured persons and to compare differences in access between low-income insured and uninsured persons across these different market areas. DATA SOURCES: Primarily the Community Tracking Study household survey. Other market-level data were obtained from the Community Tracking Study physician survey, American Hospital Association annual survey of hospitals, Area Resource File, HCFA Administrative Data, Bureau of Primary Care data on Community Health Centers. STUDY DESIGN: Individuals are grouped based on the level of managed care penetration and uninsurance rate in the site where they reside. Measures of managed care include overall managed care penetration in the site, and the level of Medicaid managed care penetration in the state. Uninsurance rate is defined as the percentage of people uninsured in the site. Measures of access include the percentage with a usual source of care, percentage with any ambulatory care use, and percentage of persons who reported unmet medical care needs. Estimates are adjusted to control for other confounding factors, including both individual and market-level characteristics. DATA COLLECTION: A survey, primarily telephoned, of households concentrated in 60 sites, defined as metropolitan statistical areas and nonmetropolitan areas. PRINCIPAL FINDINGS: Access to care for low-income uninsured persons is lower in states with high Medicaid managed care penetration, compared to uninsured persons in states with low Medicaid managed care penetration. Access to care for low-income uninsured persons is also lower in areas with high uninsurance rates. The "access gap" (differences in access between insured and uninsured persons) is also larger in areas with high Medicaid managed care penetration and areas with high uninsurance rates. CONCLUSIONS: Efforts to achieve cost savings under managed care may result in financial pressures that limit cross-subsidization of care to the medically indigent, particularly for those providers who are heavily dependent on Medicaid revenue. High demand for care (as reflected in high uninsurance rates) may further strain limited resources for indigent care, further limiting access to care for uninsured persons.  (+info)

"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.

Insurance coverage, in the context of healthcare and medicine, refers to the financial protection provided by an insurance policy that covers all or a portion of the cost of medical services, treatments, and prescription drugs. The coverage is typically offered by health insurance companies, employers, or government programs such as Medicare and Medicaid.

The specific services and treatments covered by insurance, as well as the out-of-pocket costs borne by the insured individual, are determined by the terms of the insurance policy. These terms may include deductibles, copayments, coinsurance, and coverage limits or exclusions. The goal of insurance coverage is to help individuals manage the financial risks associated with healthcare expenses and ensure access to necessary medical services.

Health Insurance is a type of insurance that covers the whole or a part of the risk of a person incurring medical expenses, spreading the risk over a large number of persons. By purchasing health insurance, insured individuals pay a premium to an insurance company, which then pools those funds with other policyholders' premiums to pay for the medical care costs of individuals who become ill or injured. The coverage can include hospitalization, medical procedures, prescription drugs, and preventive care, among other services. The goal of health insurance is to provide financial protection against unexpected medical expenses and to make healthcare services more affordable.

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.

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.

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.

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.

Eligibility determination is the process of evaluating whether an individual meets the required criteria or conditions to be qualified for a particular program, benefit, service, or position. This process typically involves assessing various factors such as medical condition, functional abilities, financial status, age, and other relevant aspects based on the specific eligibility requirements.

In the context of healthcare and medical services, eligibility determination is often used to establish whether a patient qualifies for certain treatments, insurance coverage, government assistance programs (like Medicaid or Medicare), or disability benefits. This process may include reviewing medical records, conducting assessments, and comparing the individual's situation with established guidelines or criteria.

The primary goal of eligibility determination is to ensure that resources are allocated fairly and appropriately to those who genuinely need them and meet the necessary requirements.

"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.

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.

Health care reform refers to the legislative efforts, initiatives, and debates aimed at improving the quality, affordability, and accessibility of health care services. These reforms may include changes to health insurance coverage, delivery systems, payment methods, and healthcare regulations. The goals of health care reform are often to increase the number of people with health insurance, reduce healthcare costs, and improve the overall health outcomes of a population. Examples of notable health care reform measures in the United States include the Affordable Care Act (ACA) and Medicare for All proposals.

I'm sorry for any confusion, but "Tax Exemption" is not a medical term. It is a term used in the field of tax law and finance. Tax exemption refers to the ability to exclude all or part of one's income from taxes. Certain organizations, such as non-profit organizations or government entities, can be tax-exempt, meaning they do not have to pay taxes on their income. Additionally, individuals may also qualify for certain tax exemptions, such as those for dependents.

The term "charities" in the medical context generally refers to organizations that provide assistance, support, and resources to individuals facing various health challenges or disabilities. These organizations are typically dedicated to improving the quality of life for these individuals, advancing medical research, and providing education about specific diseases or conditions. Charities may offer a range of services such as financial assistance, support groups, counseling, educational materials, and advocacy efforts on behalf of patients and their families. Some charities focus on a specific disease or condition, while others address a broader range of health issues. Examples include the American Cancer Society, the American Heart Association, and the National Multiple Sclerosis Society.

I'm sorry for any confusion, but "poverty" is not a medical condition or term. It is a social condition defined by the World Bank as "pronounced deprivation in well-being," and measured through indicators such as income, consumption, and access to basic services. Poverty can have significant impacts on health outcomes and healthcare access, but it is not considered a medical diagnosis. If you have any questions related to health or medicine, I'd be happy to try my best to help answer them!

"Aid to Families with Dependent Children (AFDC)" was a federal assistance program in the United States, established in 1935 as part of the Social Security Act. The program provided financial assistance to families with dependent children who were deprived of support due to the death, disability, or absence of one or both parents.

The primary goal of AFDC was to help ensure the basic needs of children were met, including food, clothing, and housing. Eligibility for the program was based on income and resource limits, and the amount of assistance provided varied by state. In 1996, AFDC was replaced by the Temporary Assistance for Needy Families (TANF) block grant program as part of the Personal Responsibility and Work Opportunity Reconciliation Act.

I'm sorry for any confusion, but "State Health Planning and Development Agencies" is not a medical term or concept. Rather, it refers to the state-level government agencies responsible for health planning and development activities within their jurisdictions. These agencies are typically tasked with tasks such as:

1. Assessing the healthcare needs of the population.
2. Developing plans to address those needs.
3. Coordinating healthcare resources and services.
4. Regulating healthcare facilities and providers.
5. Promoting public health and preventing disease.

The specific responsibilities and activities of these agencies can vary from state to state, depending on factors such as the size and demographics of the population, the availability of healthcare resources, and the priorities of the state government. If you have any questions about a specific state's health planning and development agency or their role in healthcare, I would be happy to try to help further!

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.

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.

The Patient Protection and Affordable Care Act (ACA) is a comprehensive healthcare reform law passed in 2010 in the United States. Its primary goal is to increase the quality and affordability of health insurance, lower the uninsured rate by expanding public and private insurance coverage, and reduce the costs of healthcare for individuals, businesses, and government.

The ACA achieves these goals through several key provisions:

1. Individual mandate: Requires most individuals to have health insurance or pay a penalty, with some exceptions.
2. Employer mandate: Requires certain employers to offer health insurance to their employees or face penalties.
3. Insurance market reforms: Prohibits insurers from denying coverage based on pre-existing conditions, limits out-of-pocket costs, and requires coverage of essential health benefits.
4. Medicaid expansion: Expands Medicaid eligibility to cover more low-income individuals and families.
5. Health insurance exchanges: Establishes state-based marketplaces where individuals and small businesses can purchase qualified health plans.
6. Subsidies: Provides premium tax credits and cost-sharing reductions to help eligible individuals and families afford health insurance.
7. Prevention and public health fund: Invests in prevention, wellness, and public health programs.
8. Medicare reforms: Improves benefits for Medicare beneficiaries, reduces costs for some beneficiaries, and extends the solvency of the Medicare Trust Fund.

The ACA has been subject to numerous legal challenges and political debates since its passage. Despite these controversies, the law has significantly reduced the number of uninsured Americans and reshaped the U.S. healthcare system.

Child health services refer to a range of medical and supportive services designed to promote the physical, mental, and social well-being of children from birth up to adolescence. These services aim to prevent or identify health problems early, provide treatment and management for existing conditions, and support healthy growth and development.

Examples of child health services include:

1. Well-child visits: Regular checkups with a pediatrician or other healthcare provider to monitor growth, development, and overall health.
2. Immunizations: Vaccinations to protect against infectious diseases such as measles, mumps, rubella, polio, and hepatitis B.
3. Screening tests: Blood tests, hearing and vision screenings, and other diagnostic tests to identify potential health issues early.
4. Developmental assessments: Evaluations of a child's cognitive, emotional, social, and physical development to ensure they are meeting age-appropriate milestones.
5. Dental care: Preventive dental services such as cleanings, fluoride treatments, and sealants, as well as restorative care for cavities or other dental problems.
6. Mental health services: Counseling, therapy, and medication management for children experiencing emotional or behavioral challenges.
7. Nutrition counseling: Education and support to help families make healthy food choices and promote good nutrition.
8. Chronic disease management: Coordinated care for children with ongoing medical conditions such as asthma, diabetes, or cerebral palsy.
9. Injury prevention: Programs that teach parents and children about safety measures to reduce the risk of accidents and injuries.
10. Public health initiatives: Community-based programs that promote healthy lifestyles, provide access to healthcare services, and address social determinants of health such as poverty, housing, and education.

Universal coverage is a term used in healthcare policy to describe a system in which all residents of a particular country or region have access to necessary healthcare services, regardless of their ability to pay. This can be achieved through various mechanisms, such as mandatory health insurance, government provision of care, or a mix of public and private financing.

The goal of universal coverage is to ensure that everyone has access to essential medical services, including preventive care, doctor visits, hospitalizations, and prescription medications, without facing financial hardship due to medical expenses. Universal coverage can help reduce disparities in healthcare access and outcomes, improve overall population health, and provide economic benefits by reducing the burden of uncompensated care on healthcare providers and taxpayers.

It's important to note that universal coverage does not necessarily mean that all healthcare services are provided for free or at no cost to the individual. Rather, it means that everyone has access to a basic level of care, and that out-of-pocket costs are kept affordable through various mechanisms such as cost-sharing, subsidies, or risk pooling.

Personal Financing is not a term that has a specific medical definition. However, in general terms, it refers to the management of an individual's financial resources, such as income, assets, liabilities, and debts, to meet their personal needs and goals. This can include budgeting, saving, investing, planning for retirement, and managing debt.

In the context of healthcare, personal financing may refer to the ability of individuals to pay for their own medical care expenses, including health insurance premiums, deductibles, co-pays, and out-of-pocket costs. This can be a significant concern for many people, particularly those with chronic medical conditions or disabilities who may face ongoing healthcare expenses.

Personal financing for healthcare may involve various strategies, such as setting aside savings, using health savings accounts (HSAs) or flexible spending accounts (FSAs), purchasing health insurance policies with lower premiums but higher out-of-pocket costs, or negotiating payment plans with healthcare providers. Ultimately, personal financing for healthcare involves making informed decisions about how to allocate financial resources to meet both immediate and long-term medical needs while also balancing other financial goals and responsibilities.

National Health Insurance (NHI) in the United States does not refer to a specific federal program, but rather it is often used to describe the concept of universal healthcare financing, where all residents have access to necessary healthcare services, and the costs are shared among the entire population.

However, the closest equivalent to NHI in the US is Medicare, which is a federal social insurance program that provides health insurance coverage to people aged 65 and older, some younger people with disabilities, and people with end-stage renal disease. It is not a true NHI system because it does not cover all residents of the country.

Therefore, there is no widely accepted medical definition of 'National Health Insurance, United States' in the context of an actual existing program or policy.

Fees and charges in a medical context refer to the costs that patients are required to pay for healthcare services, treatments, or procedures. These may include:

1. Professional fees: The amount charged by healthcare professionals such as doctors, nurses, or therapists for their time, expertise, and services provided during consultations, examinations, or treatments.

2. Hospital charges: The costs associated with a patient's hospital stay, including room and board, nursing care, medications, and diagnostic tests.

3. Facility fees: Additional charges levied by hospitals, clinics, or ambulatory surgery centers to cover the overhead expenses of maintaining the facility and its equipment.

4. Procedure or treatment-specific fees: Costs directly related to specific medical procedures, surgeries, or treatments, such as anesthesia, radiology services, laboratory tests, or surgical supplies.

5. Ancillary fees: Additional costs for items like crutches, slings, or durable medical equipment that patients may need during their recovery process.

6. Insurance copayments, coinsurance, and deductibles: The portion of healthcare expenses that patients are responsible for paying based on their insurance policy terms.

It is essential for patients to understand the fees and charges associated with their medical care to make informed decisions about their treatment options and manage their healthcare costs effectively.

A Health Benefit Plan for Employees refers to a type of insurance policy that an employer provides to their employees as part of their benefits package. These plans are designed to help cover the costs of medical care and services for the employees and sometimes also for their dependents. The specific coverage and details of the plan can vary depending on the terms of the policy, but they typically include a range of benefits such as doctor visits, hospital stays, prescription medications, and preventative care. Employers may pay all or part of the premiums for these plans, and employees may also have the option to contribute to the cost of coverage. The goal of health benefit plans for employees is to help protect the financial well-being of workers by helping them manage the costs of medical care.

Health expenditures refer to the total amount of money spent on health services, goods, and resources in a given period. This can include expenses for preventive care, medical treatments, medications, long-term care, and administrative costs. Health expenditures can be made by individuals, corporations, insurance companies, or governments, and they can be measured at the national, regional, or household level.

Health expenditures are often used as an indicator of a country's investment in its healthcare system and can reflect the overall health status of a population. High levels of health expenditures may indicate a strong commitment to healthcare, but they can also place a significant burden on individuals, businesses, and governments. Understanding patterns and trends in health expenditures is important for policymakers, healthcare providers, and researchers who are working to improve the efficiency, effectiveness, and accessibility of healthcare services.

Healthcare disparities refer to differences in the quality, accessibility, and outcomes of healthcare that are systematically related to social or economic disadvantage. These disparities may exist between different racial, ethnic, socioeconomic, gender, sexual orientation, geographic, or disability status groups. They can result from a complex interplay of factors including provider bias, patient-provider communication, health system policies, and structural racism, among others. Healthcare disparities often lead to worse health outcomes and reduced quality of life for disadvantaged populations.

"California" is a geographical location and does not have a medical definition. It is a state located on the west coast of the United States, known for its diverse landscape including mountains, beaches, and forests. However, in some contexts, "California" may refer to certain medical conditions or situations that are associated with the state, such as:

* California encephalitis: a viral infection transmitted by mosquitoes that is common in California and other western states.
* California king snake: a non-venomous snake species found in California and other parts of the southwestern United States, which can bite and cause allergic reactions in some people.
* California roll: a type of sushi roll that originated in California and is made with avocado, cucumber, and crab meat, which may pose an allergy risk for some individuals.

It's important to note that these uses of "California" are not medical definitions per se, but rather descriptive terms that refer to specific conditions or situations associated with the state.

Health services needs refer to the population's requirement for healthcare services based on their health status, disease prevalence, and clinical guidelines. These needs can be categorized into normative needs (based on expert opinions or clinical guidelines) and expressed needs (based on individuals' perceptions of their own healthcare needs).

On the other hand, health services demand refers to the quantity of healthcare services that consumers are willing and able to pay for, given their preferences, values, and financial resources. Demand is influenced by various factors such as price, income, education level, and cultural beliefs.

It's important to note that while needs represent a population's requirement for healthcare services, demand reflects the actual utilization of these services. Understanding both health services needs and demand is crucial in planning and delivering effective healthcare services that meet the population's requirements while ensuring efficient resource allocation.

I'm sorry for any confusion, but "income" is not a medical term. Income is an economic term that refers to the inflow of monetary resources or earnings that an individual or household receives from various sources, such as employment, investments, or government benefits. It is typically used in financial and economic contexts rather than medical ones. If you have any questions related to medical terminology or concepts, I would be happy to help with those!

Health services refer to the delivery of healthcare services, including preventive, curative, and rehabilitative services. These services are typically provided by health professionals such as doctors, nurses, and allied health personnel in various settings, including hospitals, clinics, community health centers, and long-term care facilities. Health services may also include public health activities such as health education, surveillance, and health promotion programs aimed at improving the health of populations. The goal of health services is to promote and restore health, prevent disease and injury, and improve the quality of life for individuals and communities.

Socioeconomic factors are a range of interconnected conditions and influences that affect the opportunities and resources a person or group has to maintain and improve their health and well-being. These factors include:

1. Economic stability: This includes employment status, job security, income level, and poverty status. Lower income and lack of employment are associated with poorer health outcomes.
2. Education: Higher levels of education are generally associated with better health outcomes. Education can affect a person's ability to access and understand health information, as well as their ability to navigate the healthcare system.
3. Social and community context: This includes factors such as social support networks, discrimination, and community safety. Strong social supports and positive community connections are associated with better health outcomes, while discrimination and lack of safety can negatively impact health.
4. Healthcare access and quality: Access to affordable, high-quality healthcare is an important socioeconomic factor that can significantly impact a person's health. Factors such as insurance status, availability of providers, and cultural competency of healthcare systems can all affect healthcare access and quality.
5. Neighborhood and built environment: The physical conditions in which people live, work, and play can also impact their health. Factors such as housing quality, transportation options, availability of healthy foods, and exposure to environmental hazards can all influence health outcomes.

Socioeconomic factors are often interrelated and can have a cumulative effect on health outcomes. For example, someone who lives in a low-income neighborhood with limited access to healthy foods and safe parks may also face challenges related to employment, education, and healthcare access that further impact their health. Addressing socioeconomic factors is an important part of promoting health equity and reducing health disparities.

Bankruptcy is a legal status of an individual or organization that cannot pay its debts and seeks relief from some or all of those debts through the courts. In medical terms, bankruptcy may refer to a person's inability to pay their medical bills or debts due to high medical costs, which can lead to filing for bankruptcy protection under federal laws.

Medical debt is a significant contributor to personal bankruptcy in many countries, particularly in the United States. According to various studies, medical expenses are the leading cause of bankruptcy in the US, accounting for over 60% of all personal bankruptcies. Even having health insurance does not necessarily protect individuals from medical-related financial hardship, as high deductibles, co-pays, and out-of-network charges can still leave patients with substantial bills.

Filing for bankruptcy due to medical debt can provide relief by discharging some or all of the debts, allowing the individual to start fresh financially. However, it also has long-term consequences, such as damage to credit scores and potential difficulties obtaining loans, credit cards, or housing in the future.

I'm sorry for any confusion, but the term "Private Sector" is not a medical definition. It is an economic and sociopolitical term that refers to businesses and organizations which are not owned or controlled by the government. They can be privately owned and operated for profit, such as corporations, partnerships, and sole proprietorships, or they can be non-profit organizations, such as charities and advocacy groups. The private sector is distinct from the "Public Sector," which includes entities that are owned and controlled by the government, like public schools, hospitals, and other services provided by the state.

I'm not aware of any medical definition for the term "Florida." It is primarily used to refer to a state in the United States located in the southeastern region. If you have any specific medical context in which this term was used, please let me know and I will do my best to provide a relevant answer.

I must clarify that I'm a helpful assistant and not a doctor, but I can tell you that 'politics' is not a term used in medicine. Politics refers to the activities associated with the governance of a country or area, especially the debate or conflict among individuals or groups having or hoping to achieve power. If you have any medical questions, feel free to ask!

I'm sorry for any confusion, but "State Government" is not a medical term. It refers to the level of government in the United States that is responsible for governing each of the individual states. This includes executives (such as governors), legislative bodies (like state senates and houses of representatives), and courts.

If you have any questions related to medicine or healthcare, I'd be happy to try and help answer those for you!

Hospital economics refers to the study and application of economic principles and concepts in the management and operation of hospitals and healthcare organizations. This field examines issues such as cost containment, resource allocation, financial management, reimbursement systems, and strategic planning. The goal of hospital economics is to improve the efficiency and effectiveness of hospital operations while maintaining high-quality patient care. It involves understanding and analyzing various economic factors that affect hospitals, including government regulations, market forces, technological advancements, and societal values. Hospital economists may work in a variety of settings, including hospitals, consulting firms, academic institutions, and government agencies.

In the context of healthcare and medical insurance, an "insurance pool" refers to a grouping of individuals or entities who come together to share risks and costs associated with potential losses or expenses. This is often done through the purchase of insurance policies from a company. The insurance company then manages the pool, using the premiums collected from all members to pay for claims made by any individual member.

In this way, an insurance pool helps to spread the financial risk of healthcare costs across a larger group, which can lead to more predictable and stable costs for individuals or entities. Additionally, because the risk is spread out among many people, those who are considered higher risk (such as older individuals or those with pre-existing medical conditions) may still be able to obtain insurance coverage at a reasonable rate.

Insurance pools can take various forms, including community rating pools, high-risk pools, and reinsurance pools. Each type of pool is designed to address specific needs and risks within the healthcare system.

I'm sorry for any confusion, but "Income Tax" is not a medical term. It is an concept from the field of economics and public finance.

Income tax refers to a type of tax that governments impose on individuals or entities' income. The tax is calculated as a percentage of the income earned, and it varies depending on the income level and the tax laws of the country or region. Income taxes are a major source of revenue for most national governments.

If you have any medical questions, I would be happy to try to help answer them!

I could not find a specific medical definition for "Patient Credit and Collection." However, I can provide an explanation based on general financial terms and common practices within the healthcare industry.

"Patient Credit and Collection" refers to the process of managing payments from patients who receive medical services but cannot pay the full amount at the time of service. Healthcare providers often extend credit to these patients, allowing them to receive necessary care while agreeing to pay the balance later. The "collection" aspect involves the healthcare provider's efforts to secure payment from patients who have not paid their outstanding balances according to the agreed-upon terms.

In summary, Patient Credit and Collection is a financial process in which healthcare providers extend credit to patients for medical services and then work to collect the payments owed over time.

I'm sorry for any confusion, but "Oregon" is not a medical term or concept. It is a geographical location, being the name of a state in the United States, located in the Pacific Northwest region. If you have any questions related to medical topics, I would be happy to try and help answer those for you!

'Vulnerable populations' is a term used in public health and medicine to refer to groups of individuals who are at a higher risk of negative health outcomes or have limited access to healthcare services. These populations can be defined by various sociodemographic, economic, and environmental factors, including:

1. Age: Older adults and children, especially those with chronic medical conditions, are often considered vulnerable populations due to their increased susceptibility to illness and reduced ability to access care.
2. Race/Ethnicity: Racial and ethnic minorities may face barriers to healthcare access, discrimination, and systemic inequities that contribute to poorer health outcomes.
3. Socioeconomic status: Individuals with low income, limited education, or unstable housing are more likely to experience health disparities due to reduced access to quality healthcare, nutritious food, and safe living environments.
4. Disability status: People with disabilities may face physical, communication, or attitudinal barriers that limit their ability to access healthcare services and contribute to poorer health outcomes.
5. Sexual orientation and gender identity: Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) individuals often experience discrimination and stigma in healthcare settings, which can negatively impact their health and access to care.
6. Immigration status: Undocumented immigrants and refugees may face legal barriers to healthcare access, language barriers, and fear of deportation that contribute to poorer health outcomes.
7. Geographic location: Rural areas and urban "food deserts" often lack adequate healthcare resources and access, leading to health disparities for residents in these regions.
8. Incarceration status: Individuals involved in the criminal justice system may experience limited access to healthcare services and face unique health challenges related to their incarceration.
9. Mental health status: People with mental illness or substance use disorders are often considered vulnerable populations due to stigma, discrimination, and reduced access to quality care.

It is important to note that these factors can intersect and compound the vulnerabilities faced by individuals within these groups. Addressing the needs of vulnerable populations requires a comprehensive approach that addresses social determinants of health, systemic inequities, and barriers to healthcare access.

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.

Health services research (HSR) is a multidisciplinary field of scientific investigation that studies how social factors, financing systems, organizational structures and processes, health technologies, and personal behaviors affect access to healthcare, the quality and cost of care, and ultimately, our health and well-being. The goal of HSR is to inform policy and practice, improve system performance, and enhance the health and well-being of individuals and communities. It involves the use of various research methods, including epidemiology, biostatistics, economics, sociology, management science, political science, and psychology, to answer questions about the healthcare system and how it can be improved.

Examples of HSR topics include:

* Evaluating the effectiveness and cost-effectiveness of different healthcare interventions and technologies
* Studying patient-centered care and patient experiences with the healthcare system
* Examining healthcare workforce issues, such as shortages of primary care providers or the impact of nurse-to-patient ratios on patient outcomes
* Investigating the impact of health insurance design and financing systems on access to care and health disparities
* Analyzing the organization and delivery of healthcare services in different settings, such as hospitals, clinics, and long-term care facilities
* Identifying best practices for improving healthcare quality and safety, reducing medical errors, and eliminating wasteful or unnecessary care.

'Government Financing' in the context of healthcare refers to the role of government in funding healthcare services, programs, and infrastructure. This can be achieved through various mechanisms such as:

1. Direct provision of healthcare services: The government operates and funds its own hospitals, clinics, and other healthcare facilities, where it employs healthcare professionals to deliver care.
2. Public insurance programs: The government establishes and manages health insurance programs, like Medicare and Medicaid in the United States, which provide coverage for specific populations and reimburse healthcare providers for services delivered to enrollees.
3. Tax subsidies and incentives: Governments may offer tax breaks or other financial incentives to encourage private investments in healthcare infrastructure, research, and development.
4. Grants and loans: Government agencies can provide funding to healthcare organizations, researchers, and educational institutions in the form of grants and loans for specific projects, programs, or initiatives.
5. Public-private partnerships (PPPs): Governments collaborate with private entities to jointly fund and manage healthcare services, facilities, or infrastructure projects.

Government financing plays a significant role in shaping healthcare systems and ensuring access to care for vulnerable populations. The extent of government involvement in financing varies across countries, depending on their political, economic, and social contexts.

Health policy refers to a set of decisions, plans, and actions that are undertaken to achieve specific healthcare goals within a population. It is formulated by governmental and non-governmental organizations with the objective of providing guidance and direction for the management and delivery of healthcare services. Health policies address various aspects of healthcare, including access, financing, quality, and equity. They can be designed to promote health, prevent disease, and provide treatment and rehabilitation services to individuals who are sick or injured. Effective health policies require careful consideration of scientific evidence, ethical principles, and societal values to ensure that they meet the needs of the population while being fiscally responsible.

Medicare is a social insurance program in the United States, administered by the Centers for Medicare & Medicaid Services (CMS), that provides health insurance coverage to people who are aged 65 and over; or who have certain disabilities; or who have End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant).

The program consists of four parts:

1. Hospital Insurance (Part A), which helps pay for inpatient care in hospitals, skilled nursing facilities, hospices, and home health care.
2. Medical Insurance (Part B), which helps pay for doctors' services, outpatient care, medical supplies, and preventive services.
3. Medicare Advantage Plans (Part C), which are private insurance plans that provide all of your Part A and Part B benefits, and may include additional benefits like dental, vision, and hearing coverage.
4. Prescription Drug Coverage (Part D), which helps pay for medications doctors prescribe for treatment.

Medicare is funded by payroll taxes, premiums paid by beneficiaries, and general revenue. Beneficiaries typically pay a monthly premium for Part B and Part D coverage, while Part A is generally free for those who have worked and paid Medicare taxes for at least 40 quarters.

"Rate setting and review" is not a commonly used medical term with a specific definition in the field. However, I can provide you with information about what these terms might refer to in a broader healthcare context:

Rate setting generally refers to the process of determining the payment rates for healthcare services, programs, or products. This could involve setting reimbursement rates for medical procedures, medications, or durable medical equipment under government-funded health insurance programs like Medicare and Medicaid, or in the private insurance sector. Rate setting can be influenced by various factors, including the cost of providing care, resource utilization, quality metrics, and market competition.

Review, in this context, typically refers to the process of evaluating and assessing healthcare services, programs, or products to ensure their quality, effectiveness, and efficiency. This could involve reviewing medical records, clinical outcomes, and financial data to determine if the care provided is consistent with evidence-based guidelines, industry best practices, and regulatory requirements. Regular reviews are essential for maintaining high standards of care, identifying areas for improvement, and ensuring that resources are allocated efficiently.

Together, "rate setting and review" may refer to a comprehensive approach to managing healthcare costs and quality by establishing appropriate payment rates while continuously monitoring and improving the effectiveness and efficiency of healthcare services.

I'm sorry for any confusion, but "New Jersey" is not a medical term or concept. It is a state located in the Mid-Atlantic region of the United States. If you have any questions about medical terminology or concepts, I would be happy to help!

Data collection in the medical context refers to the systematic gathering of information relevant to a specific research question or clinical situation. This process involves identifying and recording data elements, such as demographic characteristics, medical history, physical examination findings, laboratory results, and imaging studies, from various sources including patient interviews, medical records, and diagnostic tests. The data collected is used to support clinical decision-making, inform research hypotheses, and evaluate the effectiveness of treatments or interventions. It is essential that data collection is performed in a standardized and unbiased manner to ensure the validity and reliability of the results.

Insurance benefits refer to the coverage, payments or services that a health insurance company provides to its policyholders based on the terms of their insurance plan. These benefits can include things like:

* Payment for all or a portion of medical services, such as doctor visits, hospital stays, and prescription medications
* Coverage for specific treatments or procedures, such as cancer treatment or surgery
* Reimbursement for out-of-pocket expenses, such as deductibles, coinsurance, and copayments
* Case management and care coordination services to help policyholders navigate the healthcare system and receive appropriate care.

The specific benefits provided will vary depending on the type of insurance plan and the level of coverage purchased by the policyholder. It is important for individuals to understand their insurance benefits and how they can access them in order to make informed decisions about their healthcare.

Hispanic Americans, also known as Latino Americans, are individuals in the United States who are of Spanish-speaking origin or whose ancestors came from Spain, Mexico, Cuba, the Caribbean, Central and South America. This group includes various cultures, races, and nationalities. It is important to note that "Hispanic" refers to a cultural and linguistic affiliation rather than a racial category. Therefore, Hispanic Americans can be of any race, including White, Black, Asian, Native American, or mixed races.

Major medical insurance is a type of health insurance policy that provides comprehensive coverage for a wide range of medical services and treatments, typically with a high annual limit. These policies are designed to cover large, unexpected medical expenses such as hospital stays, surgery, and expensive diagnostic tests or treatments. Major medical insurance often has lower premiums than other types of health insurance because it requires the policyholder to pay a significant portion of their medical costs out-of-pocket through deductibles, copayments, and coinsurance. This type of insurance is often used in conjunction with other forms of coverage, such as employer-sponsored insurance or Medicare, to provide more comprehensive protection against high medical bills.

The Federal Government, in the context of medical definitions, typically refers to the national government of a country that has a federal system of government. In such a system, power is divided between the national government and regional or state governments. The Federal Government is responsible for matters that affect the entire nation, such as foreign policy, national defense, and regulating interstate commerce, including certain aspects of healthcare policy and regulation.

In the United States, for example, the Federal Government plays a significant role in healthcare through programs like Medicare, Medicaid, and the Affordable Care Act (ACA), which are designed to ensure access to affordable healthcare services for specific populations or address broader health reform initiatives. The Federal Government also regulates food and drugs through agencies such as the Food and Drug Administration (FDA) and the Centers for Disease Control and Prevention (CDC). These federal entities work to ensure the safety, efficacy, and security of medical products, foods, and public health.

Physician services insurance refers to a type of health insurance coverage that helps pay for medically necessary services provided by licensed physicians. This can include office visits, hospital care, diagnostic tests, and treatments for injuries and illnesses. The specific services covered and the amount reimbursed will depend on the terms of the individual's insurance policy. Some policies may also have restrictions on which providers are considered in-network and covered under the plan. It is important to understand the details of one's coverage to know what is included and what out-of-pocket costs may be required.

An emergency service in a hospital is a department that provides immediate medical or surgical care for individuals who are experiencing an acute illness, injury, or severe symptoms that require immediate attention. The goal of an emergency service is to quickly assess, stabilize, and treat patients who require urgent medical intervention, with the aim of preventing further harm or death.

Emergency services in hospitals typically operate 24 hours a day, 7 days a week, and are staffed by teams of healthcare professionals including physicians, nurses, physician assistants, nurse practitioners, and other allied health professionals. These teams are trained to provide rapid evaluation and treatment for a wide range of medical conditions, from minor injuries to life-threatening emergencies such as heart attacks, strokes, and severe infections.

In addition to providing emergency care, hospital emergency services also serve as a key point of entry for patients who require further hospitalization or specialized care. They work closely with other departments within the hospital, such as radiology, laboratory, and critical care units, to ensure that patients receive timely and appropriate treatment. Overall, the emergency service in a hospital plays a crucial role in ensuring that patients receive prompt and effective medical care during times of crisis.

Health Insurance Reimbursement refers to the process of receiving payment from a health insurance company for medical expenses that you have already paid out of pocket. Here is a brief medical definition of each term:

1. Insurance: A contract, represented by a policy, in which an individual or entity receives financial protection or reimbursement against losses from an insurance company. The company pools clients' risks to make payments more affordable for the insured.
2. Health: Refers to the state of complete physical, mental, and social well-being, and not merely the absence of disease or infirmity.
3. Reimbursement: The act of refunding or compensating a person for expenses incurred, especially those that have been previously paid by the individual and are now being paid back by an insurance company.

In the context of health insurance, reimbursement typically occurs when you receive medical care, pay the provider, and then submit a claim to your insurance company for reimbursement. The insurance company will review the claim, determine whether the services are covered under your policy, and calculate the amount they will reimburse you based on your plan's benefits and any applicable co-pays, deductibles, or coinsurance amounts. Once this process is complete, the insurance company will issue a payment to you to cover a portion or all of the costs you incurred for the medical services.

Emigration is the process of leaving one's country of origin or habitual residence to settle in another country. It involves giving up the rights and privileges associated with citizenship in the country of origin and acquiring new rights and responsibilities as a citizen or resident of the destination country. Emigrants are people who choose to leave their native land to live elsewhere, often driven by factors such as economic opportunities, political instability, or conflict.

Immigration, on the other hand, is the process of entering and settling in a new country with the intention of becoming a permanent resident or citizen. Immigrants are individuals who come from another country to live in a new place, often seeking better job opportunities, education, or quality of life. They must comply with the immigration laws and regulations of the host country and may be required to undergo medical examinations, background checks, and other screening processes before being granted permission to enter and reside in the country.

In summary, emigration refers to leaving one's home country, while immigration refers to entering and settling in a new country.

I'm sorry for any confusion, but "Mandatory Programs" is not a medical term or concept. It is a more general term that can be used in various contexts, including computer science, law, and policy-making. In the context of medicine or healthcare, it might refer to programs or initiatives that are required by law or regulation, but there is no specific medical definition for this term. If you have a specific context in mind, I'd be happy to help further clarify if I can!

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.

Health care costs refer to the expenses incurred for medical services, treatments, procedures, and products that are used to maintain or restore an individual's health. These costs can be categorized into several types:

1. Direct costs: These include payments made for doctor visits, hospital stays, medications, diagnostic tests, surgeries, and other medical treatments and services. Direct costs can be further divided into two subcategories:
* Out-of-pocket costs: Expenses paid directly by patients, such as co-payments, deductibles, coinsurance, and any uncovered medical services or products.
* Third-party payer costs: Expenses covered by insurance companies, government programs (like Medicare, Medicaid), or other entities that pay for health care services on behalf of patients.
2. Indirect costs: These are the expenses incurred as a result of illness or injury that indirectly impact an individual's ability to work and earn a living. Examples include lost productivity, absenteeism, reduced earning capacity, and disability benefits.
3. Non-medical costs: These are expenses related to caregiving, transportation, home modifications, assistive devices, and other non-medical services required for managing health conditions or disabilities.

Health care costs can vary significantly depending on factors such as the type of medical service, geographic location, insurance coverage, and individual health status. Understanding these costs is essential for patients, healthcare providers, policymakers, and researchers to make informed decisions about treatment options, resource allocation, and health system design.

I'm sorry for any confusion, but "public opinion" is not a term that has a medical definition. Public opinion refers to the collective views, attitudes, and beliefs held by a group or society about a particular issue or topic. It is typically formed through interaction, discussion, and various forms of communication within a community or population. If you have any questions related to healthcare or medicine, I'd be happy to help with those!

"Dissent and disputes" in a medical context generally refer to disagreements or differences of opinion among healthcare professionals, researchers, or patients regarding medical diagnoses, treatments, policies, or ethical issues. These disputes can arise from various factors such as differing clinical experiences, conflicting scientific evidence, differing values and beliefs, or lack of clear guidelines. Dissent and disputes can be resolved through open communication, evidence-based decision making, consensus building, and, when necessary, mediation or arbitration. It is essential to address dissent and disputes in a respectful and constructive manner to ensure the best possible outcomes for patients and to advance medical knowledge and practice.

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.

Community health planning is a systematic and continuous process that involves assessing the health needs and resources of a defined population, setting priorities for health improvement, and developing and implementing action plans to achieve those priorities. It is a collaborative effort between various stakeholders, including community members, healthcare providers, public health professionals, and other relevant organizations. The goal of community health planning is to improve the overall health and well-being of the community by addressing the social, environmental, and economic factors that impact health. This process typically involves the following steps:

1. Needs assessment: Identifying the health needs and priorities of the community through data collection and analysis, including demographic information, health status indicators, and healthcare utilization patterns.
2. Resource assessment: Identifying the available resources in the community, such as healthcare facilities, public health programs, and community-based organizations that can be leveraged to address the identified needs.
3. Priority setting: Determining the most pressing health issues that need to be addressed based on the needs and resource assessments. This involves engaging stakeholders in a participatory process to identify shared priorities.
4. Plan development: Developing an action plan that outlines specific strategies, activities, and timelines for addressing the identified priorities. The plan should also include indicators for measuring progress and evaluating outcomes.
5. Implementation: Putting the action plan into practice by engaging community members, healthcare providers, and other stakeholders in implementing the strategies and activities outlined in the plan.
6. Evaluation: Monitoring and evaluating the progress of the action plan to ensure that it is achieving the desired outcomes and making adjustments as needed.

Community health planning is an essential component of public health practice because it helps to ensure that resources are allocated effectively, priorities are aligned with community needs, and interventions are tailored to the unique characteristics of the population being served.

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.

An ethnic group is a category of people who identify with each other based on shared ancestry, language, culture, history, and/or physical characteristics. The concept of an ethnic group is often used in the social sciences to describe a population that shares a common identity and a sense of belonging to a larger community.

Ethnic groups can be distinguished from racial groups, which are categories of people who are defined by their physical characteristics, such as skin color, hair texture, and facial features. While race is a social construct based on physical differences, ethnicity is a cultural construct based on shared traditions, beliefs, and practices.

It's important to note that the concept of ethnic groups can be complex and fluid, as individuals may identify with multiple ethnic groups or switch their identification over time. Additionally, the boundaries between different ethnic groups can be blurred and contested, and the ways in which people define and categorize themselves and others can vary across cultures and historical periods.

A catastrophic illness is a severe and acute or chronic illness or condition that requires complex or long-term care, often involving extensive medical resources and significant financial costs. These illnesses often cause major disruptions to the lives of patients and their families, both in terms of their daily activities and their emotional well-being.

Examples of catastrophic illnesses include advanced stages of cancer, end-stage renal disease, stroke, heart failure, and certain neurological disorders such as multiple sclerosis or amyotrophic lateral sclerosis (ALS). These conditions often require ongoing medical treatment, hospitalization, surgery, and/or the use of specialized medical equipment, which can result in substantial financial burdens for patients and their families.

In some cases, insurance policies may provide coverage for catastrophic illnesses, but the specific benefits and limitations of such coverage can vary widely depending on the policy and the insurer. Some government programs, such as Medicaid and Medicare, may also offer financial assistance for patients with catastrophic illnesses, although eligibility criteria and benefit levels may also vary.

Cost control in a medical context refers to the strategies and practices employed by healthcare organizations to manage and reduce the costs associated with providing patient care while maintaining quality and safety. The goal is to optimize resource allocation, increase efficiency, and contain expenses without compromising the standard of care. This may involve measures such as:

1. Utilization management: Reviewing and monitoring the use of medical services, tests, and treatments to ensure they are necessary, appropriate, and evidence-based.
2. Case management: Coordinating patient care across various healthcare providers and settings to improve outcomes, reduce unnecessary duplication of services, and control costs.
3. Negotiating contracts with suppliers and vendors to secure favorable pricing for medical equipment, supplies, and pharmaceuticals.
4. Implementing evidence-based clinical guidelines and pathways to standardize care processes and reduce unwarranted variations in practice that can drive up costs.
5. Using technology such as electronic health records (EHRs) and telemedicine to streamline operations, improve communication, and reduce errors.
6. Investing in preventive care and wellness programs to keep patients healthy and reduce the need for costly interventions and hospitalizations.
7. Continuously monitoring and analyzing cost data to identify trends, opportunities for improvement, and areas of potential waste or inefficiency.

Community health services refer to a type of healthcare delivery that is organized around the needs of a specific population or community, rather than individual patients. These services are typically focused on preventive care, health promotion, and improving access to care for underserved populations. They can include a wide range of services, such as:

* Primary care, including routine check-ups, immunizations, and screenings
* Dental care
* Mental health and substance abuse treatment
* Public health initiatives, such as disease prevention and health education programs
* Home health care and other supportive services for people with chronic illnesses or disabilities
* Health services for special populations, such as children, the elderly, or those living in rural areas

The goal of community health services is to improve the overall health of a population by addressing the social, economic, and environmental factors that can impact health. This approach recognizes that healthcare is just one factor in determining a person's health outcomes, and that other factors such as housing, education, and income also play important roles. By working to address these underlying determinants of health, community health services aim to improve the health and well-being of entire communities.

I'm not aware of a specific medical definition for "Continental Population Groups." However, in the context of genetics and population health, continental population groups often refer to the major population divisions based on genetic ancestry and geographical origin. These groups typically include:

1. African: Individuals with recent ancestry primarily from Africa, particularly sub-Saharan Africa.
2. European: Individuals with recent ancestry primarily from Europe.
3. Asian: Individuals with recent ancestry primarily from Asia, including East Asia, South Asia, and Central Asia.
4. Native American: Individuals with recent ancestry primarily from the indigenous populations of North, Central, and South America.
5. Oceanian: Individuals with recent ancestry primarily from Australia, New Guinea, and neighboring islands in the Pacific region.

It is important to note that these categories are not exhaustive or mutually exclusive, as human migration and admixture have led to a complex web of genetic ancestries. Furthermore, using continental population labels can oversimplify the rich diversity within each group and may perpetuate harmful stereotypes or misunderstandings about racial and ethnic identities.

Logistic models, specifically logistic regression models, are a type of statistical analysis used in medical and epidemiological research to identify the relationship between the risk of a certain health outcome or disease (dependent variable) and one or more independent variables, such as demographic factors, exposure variables, or other clinical measurements.

In contrast to linear regression models, logistic regression models are used when the dependent variable is binary or dichotomous in nature, meaning it can only take on two values, such as "disease present" or "disease absent." The model uses a logistic function to estimate the probability of the outcome based on the independent variables.

Logistic regression models are useful for identifying risk factors and estimating the strength of associations between exposures and health outcomes, adjusting for potential confounders, and predicting the probability of an outcome given certain values of the independent variables. They can also be used to develop clinical prediction rules or scores that can aid in decision-making and patient care.

Hospital charges refer to the total amount that a hospital charges for providing medical and healthcare services, including room and board, surgery, laboratory tests, medications, and other related expenses. These charges are typically listed on a patient's bill or invoice and can vary widely depending on the type of care provided, the complexity of the treatment, and the specific hospital or healthcare facility. It is important to note that hospital charges may not reflect the actual cost of care, as many hospitals negotiate discounted rates with insurance companies and government payers. Additionally, patients may be responsible for paying a portion of these charges out-of-pocket, depending on their insurance coverage and other factors.

"Institutional practice," in the context of medical care, generally refers to medical services or procedures that are routinely provided as part of standard practices within a healthcare institution, such as a hospital or clinic. These practices are often based on established guidelines, protocols, or best practices that have been developed and adopted by the institution to ensure high-quality patient care and consistent outcomes.

Institutional practice may also refer to medical services or procedures that are provided within the context of a specific institutional setting, such as inpatient care versus outpatient care. Additionally, it can refer to medical practices that are unique to a particular institution, based on its resources, expertise, or patient population.

Overall, institutional practice is an important concept in healthcare, as it reflects the standardization and coordination of medical care within a specific setting, with the goal of improving patient outcomes and ensuring the safe and effective delivery of medical services.

The "delivery of health care" refers to the process of providing medical services, treatments, and interventions to individuals in order to maintain, restore, or improve their health. This encompasses a wide range of activities, including:

1. Preventive care: Routine check-ups, screenings, immunizations, and counseling aimed at preventing illnesses or identifying them at an early stage.
2. Diagnostic services: Tests and procedures used to identify and understand medical conditions, such as laboratory tests, imaging studies, and biopsies.
3. Treatment interventions: Medical, surgical, or therapeutic treatments provided to manage acute or chronic health issues, including medications, surgeries, physical therapy, and psychotherapy.
4. Acute care services: Short-term medical interventions focused on addressing immediate health concerns, such as hospitalizations for infections, injuries, or complications from medical conditions.
5. Chronic care management: Long-term care and support provided to individuals with ongoing medical needs, such as those living with chronic diseases like diabetes, heart disease, or cancer.
6. Rehabilitation services: Programs designed to help patients recover from illnesses, injuries, or surgeries, focusing on restoring physical, cognitive, and emotional function.
7. End-of-life care: Palliative and hospice care provided to individuals facing terminal illnesses, with an emphasis on comfort, dignity, and quality of life.
8. Public health initiatives: Population-level interventions aimed at improving community health, such as disease prevention programs, health education campaigns, and environmental modifications.

The delivery of health care involves a complex network of healthcare professionals, institutions, and systems working together to ensure that patients receive the best possible care. This includes primary care physicians, specialists, nurses, allied health professionals, hospitals, clinics, long-term care facilities, and public health organizations. Effective communication, coordination, and collaboration among these stakeholders are essential for high-quality, patient-centered care.

I'm sorry for any confusion, but "Virginia" is not a medical term or condition. It is a geographical location, specifically the name of a state in the United States. If you have any medical questions or terms you would like defined, I'd be happy to help!

Primary health care is defined by the World Health Organization (WHO) as:

"Essential health care that is based on practical, scientifically sound and socially acceptable methods and technology made universally accessible to individuals and families in the community through their full participation and at a cost that the community and country can afford. It forms an integral part both of the country's health system, of which it is the central function and main focus, and of the overall social and economic development of the community. It is the first level of contact of individuals, the family and community with the national health system bringing health care as close as possible to where people live and work, and constitutes the first element of a continuing health care process."

Primary health care includes a range of services such as preventive care, health promotion, curative care, rehabilitation, and palliative care. It is typically provided by a team of health professionals including doctors, nurses, midwives, pharmacists, and other community health workers. The goal of primary health care is to provide comprehensive, continuous, and coordinated care to individuals and families in a way that is accessible, affordable, and culturally sensitive.

A census is a official count or survey of a population, typically conducted by a governmental authority to gather information about the demographics, economic characteristics, and other important data about the people living within its borders. In the medical context, censuses may refer to counts or surveys of specific populations, such as patients in a hospital or residents of a particular geographic area, to gather health-related data. This information can be used to inform public health policy, allocate resources, and plan for future healthcare needs.

A Public Sector, in the context of healthcare, refers to the portion of a country's health system that is managed and funded by the government. This sector provides medical services through state-owned hospitals, clinics, and other healthcare facilities, as well as through publicly financed programs such as Medicare and Medicaid in the United States or the National Health Service (NHS) in the United Kingdom. The public sector aims to ensure that all citizens have access to necessary medical care, regardless of their ability to pay. It is often funded through taxes and is accountable to the public for its performance.

In the medical field, "accounting" generally refers to the process of tracking, analyzing, and reporting financial transactions related to the operation of a healthcare organization or practice. This can include recording revenue from patient services, managing expenses for supplies and personnel, ensuring compliance with government regulations, and producing financial statements for decision-making and tax purposes.

Some specific areas of accounting that are relevant to healthcare include:

* Revenue Cycle Management (RCM): the process of tracking and collecting payments for medical services provided to patients. This includes billing, coding, and managing insurance claims.
* Cost Accounting: the process of analyzing and allocating costs associated with providing medical services, including direct costs (such as supplies and labor) and indirect costs (such as rent and utilities).
* Financial Reporting: the process of producing financial statements that provide an overview of a healthcare organization's financial performance and position. This can include balance sheets, income statements, and cash flow statements.
* Compliance Accounting: the process of ensuring that a healthcare organization is following all relevant laws and regulations related to financial management, including those related to Medicare and Medicaid reimbursement, tax reporting, and fraud prevention.

It's important to note that accounting in healthcare is a complex field that requires specialized knowledge and skills, and it is typically overseen by certified public accountants (CPAs) or other financial professionals who specialize in healthcare finance.

The Health Care Sector is a segment of the economy that includes companies and organizations that provide goods and services to treat patients with medical conditions, as well as those that work to maintain people's health through preventative care and health education. This sector includes hospitals, clinics, physician practices, dental practices, pharmacies, home health care agencies, nursing homes, laboratories, and medical device manufacturers, among others.

The Health Care Sector is often broken down into several subsectors, including:

1. Providers of healthcare services, such as hospitals, clinics, and physician practices.
2. Payers of healthcare costs, such as insurance companies and government agencies like Medicare and Medicaid.
3. Manufacturers of healthcare products, such as medical devices, pharmaceuticals, and biotechnology products.
4. Distributors of healthcare products, such as wholesalers and pharmacy benefit managers.
5. Providers of healthcare information technology, such as electronic health record systems and telemedicine platforms.

The Health Care Sector is a significant contributor to the economy in many countries, providing employment opportunities and contributing to economic growth. However, it also faces significant challenges, including rising costs, an aging population, and increasing demands for access to high-quality care.

Cost sharing in a medical or healthcare context refers to the portion of health care costs that are paid by the patient or health plan member, rather than by their insurance company. Cost sharing can take various forms, including deductibles, coinsurance, and copayments.

A deductible is the amount that a patient must pay out of pocket for medical services before their insurance coverage kicks in. For example, if a health plan has a $1,000 deductible, the patient must pay the first $1,000 of their medical expenses before their insurance starts covering costs.

Coinsurance is the percentage of medical costs that a patient is responsible for paying after they have met their deductible. For example, if a health plan has 20% coinsurance, the patient would pay 20% of the cost of medical services, and their insurance would cover the remaining 80%.

Copayments are fixed amounts that patients must pay for specific medical services, such as doctor visits or prescription medications. Copayments are typically paid at the time of service and do not count towards a patient's deductible.

Cost sharing is intended to encourage patients to be more cost-conscious in their use of healthcare services, as they have a financial incentive to seek out lower-cost options. However, high levels of cost sharing can also create barriers to accessing necessary medical care, particularly for low-income individuals and families.

Health status is a term used to describe the overall condition of an individual's health, including physical, mental, and social well-being. It is often assessed through various measures such as medical history, physical examination, laboratory tests, and self-reported health assessments. Health status can be used to identify health disparities, track changes in population health over time, and evaluate the effectiveness of healthcare interventions.

"Key Facts about the Uninsured Population". The Henry J. Kaiser Family Foundation. 2017-09-19. Retrieved 2018-08-13. " ... Medically Indigent Adults (MIAs) in the health care system of the United States are persons who do not have health insurance ... Those who are "medically indigent earn too much to qualify for Medicaid but too little to purchase either health insurance or ... This is a term that is used both medically and for the general public. According to data reported by The Henry J. Kaiser Family ...
Paul Caulford, and Y. Vali (April 2006). "Providing health care to medically uninsured immigrants and refugees". CMAJ. 174 (9 ...
... and medically uninsured individuals. These individuals remain the hardest for health care professionals to keep in touch with ...
"A New Age for the Medically Uninsured," BeyondChron.com Jan. 29‚ 2007. "2007 California Lawyer Attorneys of the Year Awards," ... Sutter Health Uninsured Pricing Cases A class of uninsured patients treated at Sutter hospitals alleged that they were charged ... In re John Muir Uninsured Healthcare Cases A class of nearly 53,000 uninsured patients who received care through John Muir ... "Lawsuit over Scripps' billing of uninsured a class action," San Diego Tribune, June 29, 2007. "Scripps to settle uninsured ...
... and Yasmin Vali, Providing health care to medically uninsured immigrants and refugees, CMAJ April 25, 2006 174 (9 ... 1]]] Caulford, Paul; D'Andrade, Jennifer (July 2012). "Health care for Canada's medically uninsured immigrants and refugees". ... Health care for Canada's medically uninsured immigrants and refugees: Whose problem is it?, 2012, Canadian Family Physician, 58 ... "Caring for the Uninsured: Paul Caulford, BSc'72, MSc'75, MD'78". temertymedicine.utoronto.ca. Retrieved 2022-03-06. Turkey and ...
... uninsured or medically underserved rural families can receive services tailored just for them with sliding-scale fees. The ...
The VIM Alliance is a national network of free clinics that provide health care services to the uninsured and medically ... is national nonprofit dedicated to building a network of free primary health care clinics for the uninsured and medically ... assisted local communities and built a national network of free health care clinics to care for the uninsured and medically ... particularly the uninsured." For two decades, the Volunteers in Medicine national office ...
In 2009 the Census Bureau states that 10.0 percent or 7.5 million children under the age of 18 were medically uninsured. ... The uninsured rate and number of uninsured increased from 2017 (7.9 percent or 25.6 million). The percentage of people with ... Young adults make up the largest age segment of the uninsured, are the most likely to be uninsured, and are one of the fastest ... The uninsured rate fell across nearly all demographic groups. The Commonwealth Fund reported that the uninsured rate among ...
It is the primary federal agency for improving access to health care services for people who are uninsured, isolated or ... medically vulnerable. Comprising six bureaus and twelve offices, HRSA provides leadership and financial support to health care ... Its grantees provide health care to uninsured people, people living with HIV/AIDS, and pregnant women, mothers and children. ... Its health center program supports medical, oral and behavioral health services to uninsured and underinsured individuals ...
Memorial is Niagara's safety net hospital for the medically underserved, uninsured and underinsured, annually providing some $ ...
The new plan covered abortions (both elective and medically necessary) in the heavily Catholic state. The number of uninsured ... which covered uninsured emergency room visits as well as uninsured hospital admissions (as well as funding community health ... A much larger portion of the pool was used for non-ED hospital care for the uninsured and for other care at Community Health ... A few days later, Governor Mitt Romney announced that he would propose a plan to cover virtually all the uninsured. At the same ...
Lone Star Circle of Care (LSCC) is a grant-funded organization dedicated to serving the health needs of the uninsured and ... They provided 130,000 patient visits for medically underserved adults and children in 2009. Grants come from the Scott & White ...
Be located in a federally designated medically under-served area (MUA) or serve medically under-served populations (MUP) ... According to the U.S. Census Bureau, 29 million people in the country (9.1% of the population) were uninsured in 2015. Many ... In areas with a high uninsurance rate, which tend to be the medically underserved areas where CHCs operate, there is often a ... As CHCs primarily treat the low-income and uninsured, many of their patients do not regularly see a primary care physician, ...
It is estimated that there are currently 700,000 medically uninsured individuals living in Colorado, and the marketplace hopes ...
... including those who are medically underserved. The organization focuses on the needs of underinsured and uninsured women. The ...
The district is also home to a disproportionate amount of the Island's medically uninsured, a number high enough to rank in the ...
Free clinics play a significant role in meeting the health care needs of the uninsured, particularly at a time when private ... Health centers are required to be located in or serve a high-need community (a "medically underserved" area or population) - ... and the uninsured. Community health centers are funded by the Bureau of Primary Health Care, U.S. Public Health Service, U.S. ... uninsured or face other obstacles to getting health care. The Bureau is headed by Associate Administrator Jim Macrae and Deputy ...
Of the 14 states with uninsured rates of 10% or greater, 11 had not expanded Medicaid. The drop in uninsured rates due to ... by paying for medically necessary healthcare). The requirement to provide emergency care also forced redistribution from people ... The uninsured rate dropped in every congressional district in the U.S. from 2013 to 2015. The Congressional Budget Office ... By 2016, the uninsured share of the population had roughly halved, with estimates ranging from 20 to 24 million additional ...
... health clinics that provide free or nominal-fee care to the uninsured and medically underserved in local communities in ...
... one of the largest primary health care providers of the uninsured and medically underserved in Colorado. Garcia was responsible ...
New applicants in the "uninsurable" category (now called "medically eligible") were required to have an income below a ... In 1995, after enrollment reached 1.2 million, the state closed eligibility to uninsured adults. People who were deemed ... Under TennCare II, program eligibility for "uninsured" and "uninsurables" was tightened. ... but were uninsured or deemed uninsurable due to pre-existing conditions. In its first year of operation, TennCare enrollment ...
... which maintains responsibility for the care of the medically indigent, low income, uninsured residents of the San Fernando and ...
... for medically necessary EMS service, but when a physician decides that the service was not medically necessary, they can cause ... the patient to pay the full, uninsured amount of the charge, with the patient receiving a bill for the additional deterrent fee ... In some jurisdictions, such as Ontario, a deterrent fee scheme is used to discourage the medically unnecessary use of EMS by ...
South Los Angeles also has the highest number of uninsured adults in Los Angeles County. UMMA currently operates two clinics in ... and a Medically Underserved Area (MUA), meaning that the region is lacking in primary, dental, and mental health care providers ...
Although they are not the only uninsured population in the United States, transgender people are less likely than cisgender ... and even if they're medically necessary. Hormone treatment for transgender youth is illegal in Tennessee. On May 18, 2021, ... and the District of Columbia require that most private insurance plans cover medically necessary health care for transgender ... people to have access to health insurance and if they do, their insurance plan may not cover medically necessary services. The ...
Medically Underserved Areas/Populations are areas or populations designated by the Health Resources and Services Administration ... Community health centers have a unique mission of ensuring access for underserved, under-insured and uninsured patients. In the ... In countries without universal healthcare, the clients include the uninsured, underinsured, low-income or those living in areas ... which includes persons who are uninsured, underinsured, low-income or those living in areas where little access to primary ...
... since her sister was medically uninsured and needs to work longer hours in order to pay her husband's medical bills. Even ...
In particular, they serve underserved, underinsured, and uninsured Americans, including migrant workers and non-U.S. citizens. ... Health programs funded include: Community Health Centers which serve a variety of federally designated Medically Underserved ... FQHCs were originally meant to provide comprehensive health services to the medically underserved to reduce the patient load on ... and 38 percent were uninsured. In particular, during 2010 health centers served 862,775 migrant and seasonal farm workers and ...
... were used for medically necessary care, there would be enough money in the system to cover everyone at no extra cost. In July ... and is concerned about the large number of uninsured and underinsured in the United States. He contends that if the for-profit ...
"The Uninsured: A Primer" (PDF). Kaiser Commission on Medicaid and the Uninsured. Archived from the original (PDF) on September ... for all medically necessary hospital and physician care.[citation needed] About 91% of hospital expenditures and 99% of total ... An estimated 25 percent of the uninsured are eligible for government programs but unenrolled. About a third of the uninsured ... The number of chronically uninsured (uninsured all year) was estimated at between 21 and 31 million in 1998. Another study, by ...
McAuliffe says 70 percent of medically uninsured live in working households Gov. Terry McAuliffe is urging the General Assembly ... McAuliffe said 70 percent of medically uninsured Virginians live in households where at least one person works. His figure is ... "Seventy percent of all uninsured live in households in which at least one person is working," he said last month in an address ... That adds up to 70.3 percent of uninsured Virginians living in a household where at least one person is working. ...
Population: Adults who are uninsured, with lower incomes, and who are medically underserved ...
Increases in Medically Attended Nonfatal Injury Episodes Among Females in the United States - Featured Topics from the National ... uninsured (15) *Unintentional Injury (11) *United States(HUS) (1) *unmarried childbearing (8) ... Increases in Medically Attended Nonfatal Injury Episodes Among Females in the United States. Posted on July 14, 2016. by NCHS ... The National Health Interview Survey (NHIS) collects information on medically attended nonfatal injury episodes, providing ...
"Key Facts about the Uninsured Population". The Henry J. Kaiser Family Foundation. 2017-09-19. Retrieved 2018-08-13. " ... Medically Indigent Adults (MIAs) in the health care system of the United States are persons who do not have health insurance ... Those who are "medically indigent earn too much to qualify for Medicaid but too little to purchase either health insurance or ... This is a term that is used both medically and for the general public. According to data reported by The Henry J. Kaiser Family ...
Randomized Controlled Trial of Self-Directed Care for Medically Uninsured Adults With Serious Mental Illness. Psychiatric ...
... www.kff.org/health-reform/report/californias-uninsured-on-the-eve-of-aca-open-enrollment/ class=see-more light-beige no-float ... This report presents the findings of a baseline survey of Californias uninsured adult population just before the start of the ... Californias uninsured: financially stressed, medically underserved. *The survey suggests that the new coverage options will be ... Californias Uninsured on the Eve of ACA Open Enrollment. Californias Uninsured on the Eve of ACA Open Enrollment. Published: ...
Must be uninsured. *Determined case by case. *Medically appropriate condition/diagnosis. *The patient must also be a US ... to individuals with low income or those who are uninsured/under-insured and meet specific criteria. Eligibility requirements ...
FindLaws article on uninsured medical expenses and child support ... This includes out-of-pocket costs from medically necessary ... Get Clarity on Uninsured Medical Expenses: Talk to a Lawyer. A childs uninsured (or underinsured) medical expenses can add up ... Parents Responsibility for Uninsured Medical Expenses. Parents must pay for the uninsured or unreimbursed medical expenses of ... If your child support order does not state how to deal with uninsured medical expenses, you may want to change an existing ...
Theyd still be uninsured, medically underserved and one major health crisis away from financial disaster. ...
Medically reviewed by Francis Kuehnle, MSN, RN-BC. Learn what gender affirming care can entail at each age and stage of your ... If you are underinsured or uninsured, patient assistance programs are available. Some of them are specifically for trans and ... Medically reviewed by Francis Kuehnle, MSN, RN-BC. Worldwide the reported number of trans people can range up to 3%, and are ... Medically reviewed by E. Mimi Arquilla, DO. Whether youre looking to reduce or enlarge your chest, options exist to help you ...
Out-of-pocket medical costs averaged $17,943 for all medically bankrupt families: $26,971 for uninsured patients; $17,749 for ... For 92% of the medically bankrupt, high medical bills directly contributed to their bankruptcy. Many families with continuous ... and not only for the poor and uninsured. Middle class families frequently collapse under the strain of a health care system ...
Many Americans consider the medically uninsured to be a scandal ... The plight of the nations 44 million uninsured demonstrates-- ... Many Americans consider the medically uninsured to be a scandal demanding attention in the 2000 presidential campaign. Bill ... It is no accident that two states with very high rates of the uninsured are Texas (25 percent uninsured) and California (22.1 ... Some of the uninsured pay themselves; many receive free care that is subsidized by doctors and hospitals--or passed along to ...
... are uninsured or underinsured. Heres what that can mean when youre living with breast cancer. ... While many different people are uninsured, statistics show that there is racial and ethnic disparity among uninsured people in ... Medically reviewed in January 2022. When a person is diagnosed with breast cancer, there are a number of important factors that ... Millions of people in the U.S. are uninsured. Heres what that can mean when youre living with breast cancer.. ...
Medically Uninsured or Underinsured. National Institutes of Health (NIH). Uniform Billing and Claims ...
2. The treatment of common warts or keratoses is an uninsured service. ... seborrhoeic keratoses which are irritated and treatment is medically required; warts in immuno-deficient patients or immuno- ...
... for strong initial enrollments under the presidents historic expansion of health coverage for the medically uninsured.. By ... for strong initial enrollments under the presidents historic expansion of health coverage for the medically uninsured. ...
The Financial Assistance program provides assistance to uninsured patients for medically necessary health care services. ... If you are uninsured, you have a right to receive a Good Faith Estimate of Expected Charges under the No Surprises Act. Learn ...
The Financial Assistance program provides assistance to uninsured patients for medically necessary health care services. ... If you are uninsured, you have a right to receive a Good Faith Estimate of Expected Charges under the No Surprises Act. Learn ...
Patients who are uninsured for a medically necessary service can receive financial help if they meet all three criteria:. *No ... No person eligible for financial assistance will be charged more for emergency or other medically necessary care than amounts ...
His system would cover all medically necessary care, including long-term care, without cost-sharing. We estimate that the ... We estimate that the approach would decrease the uninsured by 28.3 million people in 2017. National health expenditures would ... Moreover, no surge materialized when Medicare was implemented and millions of previously uninsured seniors got coverage. ... Moreover, no surge materialized when Medicare was implemented and millions of previously uninsured seniors got coverage. ...
"They are often uninsured or underinsured people who need specialty care as well as primary care," Black said. "The majority of ... The clinic serves Native Americans and Alaskan natives as well as non-native medically underserved populations. About 80% of ...
Unsurprisingly, it is greed and nothing more which determines in this country what is and isnt medically necessary. Never mind ... For the 14% of trans Americans who are uninsured, gender affirming surgeries such as vaginoplasties can cost over $50 thousand ... This is because some insurers will argue that certain surgeries are simply "cosmetic" and therefore not medically necessary. ... Even with insurance, it can cost over $100 thousand to medically transition in the U.S. ...
... we assumed that most individuals returning from prison would become part of the medically indigent and uninsured population. ... began our study with the premise that much of the reentry population eventually will become part of the uninsured and medically ... while the demand for services has increased because of growth in the number of uninsured or underinsured persons. Also, within ... there is only one medically indigent service provider (MISP) hospital. There are also relatively sparse clinic resources, both ...
San Diego County Medically Indigent Adult (MIA) health services program; and 3) completely uninsured with incomes below the ... Ayanian JZ, Weissman JS, Schneider EC, Ginsburg JA, Zaslavsky AM: Unmet health needs of uninsured adults in the United States. ... In response to this lack of adequate care for the uninsured, there is an increasing impetus for defining and implementing ... reimbursement for diabetes programs varies but is virtually nonexistent for the uninsured and underinsured. In California, for ...
  • But it usually has to be deemed medically necessary by a healthcare professional, especially if you're under age 35 . (healthline.com)
  • Generally speaking, insurance will cover any procedure that's deemed medically necessary. (healthline.com)
  • Children enrolled in Medicaid are eligible to receive comprehensive dental benefits as long as they are deemed medically necessary. (healthinsurance.org)
  • Designed to provide comprehensive primary and preventive health care to individuals living in medically underserved areas, community health centers are required by law to provide affordable, voluntary family planning services. (guttmacher.org)
  • That same year, it issued demonstration grants to eight neighborhood health centers charged with delivering comprehensive health services to low-income individuals living in medically underserved areas. (guttmacher.org)
  • Many Americans consider the medically uninsured to be a scandal demanding attention in the 2000 presidential campaign. (newsweek.com)
  • The clinic serves Native Americans and Alaskan natives as well as non-native medically underserved populations. (noozhawk.com)
  • For the 14% of trans Americans who are uninsured, gender affirming surgeries such as vaginoplasties can cost over $50 thousand. (idsnews.com)
  • Today, it figures prominently in the Bush administration's plans to improve access to health care for uninsured Americans. (guttmacher.org)
  • These grants sought to provide both low-income Americans insured through the newly created Medicaid program and the uninsured a place where they could access affordable health care services. (guttmacher.org)
  • Washington , D.C. - This week marks the beginning of 'Cover the Uninsured Week,' an opportunity to highlight this critical problem that affects over 47 million Americans and hopefully bring some momentum for viable solutions. (house.gov)
  • Since President Bush took office, 8 million more Americans lack health insurance, while 9 million of our children remain uninsured. (house.gov)
  • In the face of stagnant wages and ever-increasing health insurance premiums, today, nearly 52% of uninsured Americans say that they do not have health insurance because it is too expensive. (house.gov)
  • These initiatives are critical, as they w ould provide assistance to over half of all uninsured Americans. (house.gov)
  • The law increases coverage for more than 30 million uninsured Americans, including children who were legally denied because they had preexisting conditions. (demos.org)
  • Medically Indigent Adults (MIAs) in the health care system of the United States are persons who do not have health insurance and who are not eligible for other health care such as Medicaid, Medicare, or private health insurance. (wikipedia.org)
  • Those who are "medically indigent earn too much to qualify for Medicaid but too little to purchase either health insurance or health care. (wikipedia.org)
  • As a result, perhaps a third to half of the 11 million uninsured children already qualify for government coverage under CHIP or Medicaid. (newsweek.com)
  • At age 38, Alisa was an uninsured cancer patient with limited funds, massive credit card debt and a denied Medicaid application. (plasticsurgery.org)
  • That adds up to 70.3 percent of uninsured Virginians living in a household where at least one person is working. (politifact.com)
  • For perspective, roughly 1 million Virginians are uninsured -- about 12 percent of the population. (politifact.com)
  • McAuliffe said 70 percent of medically uninsured Virginians live in households where at least one person works. (politifact.com)
  • VHCF is grateful for the generosity of its many corporate, foundation and individual supporters who share this vision and whose support has helped helped more than 800,000 uninsured and medically underserved Virginians lead healthier, more productive, and independent lives. (vhcf.org)
  • It will be followed by three other surveys over the course of the next two years that will capture the changing experiences and attitudes of this same group of 2,000 people over time, whether they obtain coverage or remain uninsured. (kff.org)
  • This means out-of-pocket costs for pediatric dental care will not exceed $375 per child in 2023 (or $750 for all the children on a family's plan), and there is no cap on medically-necessary pediatric dental benefits. (healthinsurance.org)
  • Medically indigent people with significant illnesses face several barriers to health insurance. (wikipedia.org)
  • Lack of capacity: financial, physical, as well as mental can be considered with verification, Medically Indigent. (wikipedia.org)
  • The Lea County Indigent Health Care Program's mission is to financially assist the county's uninsured residents with their medical needs. (leacounty.net)
  • Joint Legislative Audit Review Commission, ' Options to Extend Health Insurance Coverage to Virginia's Uninsured Population ,' page 25, Dec. 11, 2006. (politifact.com)
  • This report presents the findings of a baseline survey of California's uninsured adult population just before the start of the first open enrollment period under the Affordable Care Act (ACA). (kff.org)
  • Meanwhile, the uninsured population has grown. (newsweek.com)
  • While the number fluctuates from year to year, roughly 10 percent of the U.S. population is uninsured at any given time. (sharecare.com)
  • Research published by The Assistant Secretary for Planning and Evaluation (ASPE) Office of Health Policy concluded that people who are Black, Hispanic or Latino, or American Indian and Alaska Native represent disproportionate percentages of the uninsured population. (sharecare.com)
  • This is a dynamic region that is medically underserved with professional health shortages that serve a population that has pressing health and social conditions, higher uninsured rates, high rates of migration, inequitable health conditions and a high rate of poverty. (hhs.gov)
  • Catholic Health extends discounts to uninsured and underinsured patients who receive medically necessary services. (chsbuffalo.org)
  • The majority of Planned Parenthood patients are uninsured, earn incomes below 300% of the federal poverty level, and trust Planned Parenthood for affordable birth control, sexually transmitted infection testing and treatment, and other reproductive healthcare services. (plannedparenthood.org)
  • Half of the clinics will be located in medically underserved areas and will offer a sliding payment scale to uninsured patients, the Journal reports. (advisory.com)
  • UH will never charge more than AGB for emergency or other medically necessary care for those patients who qualify for financial assistance or medical indigence. (uhhospitals.org)
  • In a moment of inspiration, I decided to create a cash-only, low-overhead, technology-enabled, retainer-model practice in which I could care for patients who could afford to pay out-of-pocket for enhanced service as well as uninsured patients who could pay little or nothing at all. (aafp.org)
  • From these patients' enrollment fees, I could earn enough to spend half of my time providing primary care at no cost to uninsured patients who were ineligible for government health programs. (aafp.org)
  • 3,000 benefactor visits/year ÷ 5 visits/benefactor = 600 benefactors (The remaining 3,000 visits would be used by uninsured patients. (aafp.org)
  • According to the survey, a large majority of California's eligible uninsured 1 - eight in ten - do feel they need health insurance coverage. (kff.org)
  • But, paradoxically, some of today's uninsured already qualify for government coverage, and even providing it to everyone might not result in dramatic improvements in people's health. (newsweek.com)
  • If you are uninsured and are living with breast cancer, insurance coverage can make an important difference in your cancer treatment. (sharecare.com)
  • The Obama administration is trying to lower expectations for strong initial enrollments under the president's historic expansion of health coverage for the medically uninsured. (benefitspro.com)
  • We strongly recommend that the Ontario government reverse its decision to eliminate coverage for medically necessary services for uninsured individuals. (healthydebate.ca)
  • When we asked where the figure came from, McAuliffe spokesman Brian Coy sent us a presentation used by the Virginia Health Care Foundation, a non-profit organization seeking to increase access to health care for the uninsured. (politifact.com)
  • California's eligible uninsured tilt more optimistic than pessimistic on the ACA's expected impact in their own lives: Four in ten believe the law will enhance their ability to get health care and health insurance, compared to about two in ten who expect the law to make this more difficult. (kff.org)
  • NACHC serves as the leading national advocacy organization in support of community-based health centers and the expansion of health care access for the medically undeserved and uninsured. (cdc.gov)
  • Writing in the article, David U. Himmelstein, M.D., states, "The US health care financing system is broken, and not only for the poor and uninsured. (eurekalert.org)
  • The plight of the nation's 44 million uninsured demonstrates--once again--that nothing in health care is as simple as it seems. (newsweek.com)
  • No person eligible for financial assistance will be charged more for emergency or other medically necessary care than amounts generally billed to individuals who have insurance covering such care. (upmc.com)
  • His system would cover all medically necessary care, including long-term care, without cost-sharing. (pnhp.org)
  • They are often uninsured or underinsured people who need specialty care as well as primary care," Black said. (noozhawk.com)
  • Never mind that gender affirming care is linked to reduced levels of depression and lowers the very high risk of suicide among trans youth - if the insurance company says a procedure isn't medically necessary, they must know what they're talking about! (idsnews.com)
  • In response to this lack of adequate care for the uninsured, there is an increasing impetus for defining and implementing additional methods of improving diabetes care. (diabetesjournals.org)
  • EAB is UAB's student-run free clinic that provides continuity of care to uninsured or underinsured members of the Greater Birmingham community. (uab.edu)
  • Regardless of your ability to pay, you will never be denied medically necessary care at Catholic Health. (chsbuffalo.org)
  • All Catholic Health ministries and medically necessary services are covered with the exception of the following: non-medically necessary elective services, provider services other than Catholic Health primary care provider services and Catholic Health employed providers, and both sub-acute and skilled nursing long term care services. (chsbuffalo.org)
  • Uninsured and publically insured persons may have fewer treatment options or may be more likely to require urgent care. (confex.com)
  • According to the Bureau of Primary Health Care (BPHC), the division of the U.S. Department of Health and Human Services that administers the community health center program, in 2000 approximately 750 community health center agencies ran 3,200 service sites in medically underserved rural and urban areas. (guttmacher.org)
  • At University Hospitals, all individuals are treated with respect, regardless of their individual financial circumstances, and no one is denied or delayed emergency or medically necessary care because of his or her inability to pay for services. (uhhospitals.org)
  • If you meet established financial eligibility requirements, your bill for emergency medical or medically necessary care at a UH hospital facility may be discounted under the UH Financial Assistance Program. (uhhospitals.org)
  • The full service breast clinic travels throughout Metro Atlanta to provide women and men who are uninsured, under-insured and medically under-served FREE access to quality breast care. (runningintheusa.com)
  • She's double board certified in pediatrics and pediatric infectious diseases, and provides part-time clinical care to children in Georgia who are medically underserved. (medscape.com)
  • Medi-Cal is viewed quite positively by the uninsured (62 percent favorable), a group that has widespread ties to the program: over four in ten of those with incomes 138 percent of the poverty level or less say they have been on Medi-Cal at some point, and another three in ten know someone who has participated in the program. (kff.org)
  • Most child support orders provide the percentage of uninsured and unreimbursed medical expenses each party is responsible for paying. (findlaw.com)
  • We estimate that the approach would decrease the uninsured by 28.3 million people in 2017. (pnhp.org)
  • Alisa's struggle to find funding sparked an idea to start a nonprofit for uninsured women who fall through the cracks of healthcare. (plasticsurgery.org)
  • For more than 85 years, Planned Parenthood of Greater Texas has been a trusted source for healthcare, advocacy, and medically accurate sex education. (plannedparenthood.org)
  • Dr. Lacey also helped create Knoxville Area Project Access, a partnership with the Knoxville Academy of Medicine and providers to give primary and specialty health services to the uninsured and medically underserved, and was the inaugural chair of the Governor's Health and Wellness Task Force, which helped raise Tennessee's national health ranking. (biospace.com)
  • Millions of people in the U.S. are uninsured. (sharecare.com)
  • Mortality rates are also much higher among people who are uninsured. (sharecare.com)
  • While many different people are uninsured, statistics show that there is racial and ethnic disparity among uninsured people in the U.S. (sharecare.com)
  • I've thought and written about what happens to uninsured people for years. (demos.org)
  • Medicare, for instance, covers the cost of all "medically necessary services" and "preventative services. (healthline.com)
  • Additionally, everyone in New York State can receive assistance on non-emergency medically necessary services in Catholic Health facilities. (chsbuffalo.org)
  • Our uninsured rate has substantially increased in the past year so we are aware that the need for our services continues to grow. (ferris.edu)
  • Parents must pay for the uninsured or unreimbursed medical expenses of their child. (findlaw.com)
  • Average health spending on the uninsured actually amounts to about 60 percent of spending on the insured, reports economist Sherry Glied of Columbia University. (newsweek.com)
  • and finally those uninsured who will not be able to access health insurance via either option due to their immigration status. (kff.org)
  • Even seven in ten (72 percent) of the youngest uninsured Californians - those ages 19 to 25 - say they need health insurance. (kff.org)
  • A majority of the uninsured (57 percent) do believe that health insurance is worth the money it costs, while just over a third disagree. (kff.org)
  • No one doubts that insurance would prompt today's uninsured to visit doctors and hospitals more often. (newsweek.com)
  • Even with insurance, it can cost over $100 thousand to medically transition in the U.S. (idsnews.com)
  • This study examines whether treatment of nonfatal injuries in EDs is associated with health insurance status and whether the association varies by injury type and race/ethnicity, based on analyses of data on medically attended injuries reported in the 2004-2009 National Health Interview Survey. (confex.com)
  • This is largely because private health insurance is tied to full-time employment, a fact that not only leaves mothers and often their children in medically risky limbo but also affects how we work. (demos.org)
  • Seventy percent of all uninsured live in households in which at least one person is working. (politifact.com)
  • Seventy percent of all uninsured live in households in which at least one person is working," he said last month in an address to the legislature. (politifact.com)
  • Yet at the same time, the large majority of California's eligible uninsured -seven in ten (70 percent) -say that as of late August, before the start of the most intensive phase of outreach, they don't yet have enough information about the ACA to understand how it will impact them in concrete terms. (kff.org)
  • It is no accident that two states with very high rates of the uninsured are Texas (25 percent uninsured) and California (22.1 percent), which have huge numbers of immigrants. (newsweek.com)
  • Among persons with a medically attended injury, the percent who were ED-treated was 46% for the privately insured, 61% for the publically insured, and 63% for the uninsured. (confex.com)
  • 2. The treatment of common warts or keratoses is an uninsured service. (albertadoctors.org)
  • The National Health Interview Survey (NHIS) collects information on medically attended nonfatal injury episodes, providing national estimates beyond deaths and ED visits. (cdc.gov)
  • Alisa, now 57, estimates that more than 22,000 uninsured women per year lose one or both breasts while battling cancer based on a study her charity conducted in 2010. (plasticsurgery.org)
  • As of late August, there is widespread confusion among the state's uninsured as to whether they are eligible for any of the newly expanded benefits: three-quarters in the income group targeted to get subsidies in the marketplace are either not sure or presume they will not be eligible for such financial assistance. (kff.org)
  • Patient assistance programs (PAPs) are typically sponsored by pharmaceutical companies and offer cost-free or discounted medicines, as well as copay programs, to individuals with low income or those who are uninsured/under-insured and meet specific criteria. (drugs.com)
  • If you are underinsured or uninsured, patient assistance programs are available. (healthline.com)
  • The program provides financial assistance to medically uninsured residents of Lea County for medical costs as defined in Section 27-5-4 NMSA 1978 Comp. (leacounty.net)
  • The Lea County Diabetes Program provides assistance to uninsured residents who suffer from diabetes. (leacounty.net)
  • As the only national organization focused on reconstructive surgery for uninsured and underinsured breast cancer survivors, My Hope Chest's mission is to provide hope, healing and transformation for survivors everywhere. (plasticsurgery.org)
  • They'd still be uninsured, medically underserved and one major health crisis away from financial disaster. (ap.org)
  • Children are an additional quarter of the uninsured. (newsweek.com)
  • I also know that mothers are more likely to be uninsured than either women without children or men. (demos.org)
  • I couldn't believe there wasn't a charity in our country to help uninsured women. (plasticsurgery.org)
  • On the other hand, a 1993 study claimed that the uninsured face a higher risk of premature death. (newsweek.com)
  • This is true for other types of cancer as well-being uninsured or underinsured is associated with being diagnosed at a later stage and higher mortality rates. (sharecare.com)
  • Unsurprisingly, it is greed and nothing more which determines in this country what is and isn't medically necessary. (idsnews.com)