Providers
people or organizations that provide health care (doctors, nurses, clinics, agencies
Facilities
places where care is delivered or administered
Payers
people or organizations paying for healthcare services (insurance companies, govt
programs medicaid, medicare, and the individual person needing care)
Long-Term Care (LTC)
need 24 hr skilled care
Skilled care
medically-necessary care given by a skilled nurse or therapist, availabe 24 hrs a day
home health care
care provided in a persons "clients" home
assisted living
residences for people who need some help w/ daily care, such as showers, meals,
and dressing
dementia
serious loss of mental abilities such as thinking, remembering, reasoning &
communication
adult day services
for people who need some assistance and supervision during certain hrs, but who do
not live in the facility where care is provided
acute care
24 hr skilled care given in hospitals and ambulatory surgical centers for people who
require short term, immediate care for illnesses/injuries, short stays for sx
subacute care
used for people who need less care than for an acute illness but more care than for a
chronic illness
outpatient care
given for less than 24 hrs, for people who have had tx or sx and need short-term
care
rehabilitaion
given by specialists, restore/improve function after an illness/injury
hospice care
for people who have approximately 6 months or less to live
Health Maintenance Organizations (HMOs)
require that participants use a PARTICULAR doctor or group of doctors except in
case of emergency
Preferred Provider Organizations (PPOs)
network of providers that contract to provide health services to a group of people
managed care
cost controlling agencies
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