Behavioral Science

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CHAPTER 25 Health Care in the United States HEALTH-CARE INSURANCE Yes—they vary, but there are out- of-pocket expenses for Medicare. What is the primary difference in health-care insurance coverage in the United States as compared to other industrialized countries? What options for insurance coverage are there and how do most people get their coverage? What is Medicaid? What is Medicare? What are the “Parts” of Medicare? Does Medicare have a premium, co-pay, and/or deductible? What is the group of people most likely to be uninsured or have no affordable available coverage? The United States is the only industrialized country without government-funded health care for all citizens. Employer-Sponsored Programs (most common) Individual Policy (self-purchased) Medicare Medicaid Government-funded program for low-income people below a certain income Government-funded program for those >65 years or those who are disabled or those on dialysis Part A: Hospital coverage Part B: Outpatient coverage Part C: Private supplement to A and B Part D: Prescription drug coverage Those who are employed, make too much money to qualify for Medicaid, and do not receive benefits through their employer and/or cannot afford premiums. 191
192 Deja Review: <strong>Behavioral</strong> <strong>Science</strong> How many people do not have health insurance in the United States? What are some of the disadvantages of self-purchased individual health-care plans? What is “pooled risk”? What is fee-for-service? Who pays more for the same service—an uninsured patient paying out of pocket or an insurance company? What is a Diagnosis-related Group (DRG)? What two health-care costs are not covered by Medicare? Which government-funded insurance plan is funded completely by the federal government? What are the primary sources of funding for health-care insurance for US citizens? Which not-for-profit insurance carrier provides insurance for 30% to 50% of working citizens in all 50 states? The number continues to rise, but approximately 45 million plus people. It may be very difficult to qualify for these if you have any illnesses. They can also be prohibitively expensive. Insurance companies make money by having the average premium of their insured group be less than the total amount they pay out for that same group. Each person has a certain amount of “risk” for developing disease. Combining the risk to each person in a group is “pooling risk.” Each service that is done is billed separately (eg, a doctor visit, x-ray, lab test, and surgical procedure are each charged for separately). The uninsured patient. Insurance companies negotiate discounted rate with physicians and hospitals—if a patient pays out of pocket, they have to pay full price. With DRGs, a hospital is paid a set amount for an individual diagnosis, no matter how long it takes to get better. For example, Patient A gets pneumonia and stays in the hospital 2 days, Patient B gets pneumonia also and takes a 10-day stay to recover. Medicare pays the hospital the same $1500 for Patient A as for Patient B. 1. Long-term nursing care 2. Outpatient prescription drugs Medicare. Medicaid receives funding from the federal and state governments both. Employee benefit. People obtain health-care insurance on their own. Blue Cross/Blue Shield Note: Blue Cross covers hospital costs. Blue Shield covers diagnostic tests and physicians’ fees.
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DEJA REVIEW TM Behavioral Science
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DEJA REVIEW TM Behavioral Science S
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To my family
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Contents Faculty Reviewers/Student
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Contents ix Chapter 13 MOOD DISORDE
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Faculty Reviewers Debra L Klamen, M
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Preface Behavioral science is an ex
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SECTION I Human Development and Psy
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CHAPTER 1 Early Stages of Life: Inf
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Early Stages of Life: Infancy to Ch
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CHAPTER 2 Middle Stages of Life: Ad
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Middle Stages of Life: Adolescence
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CHAPTER 3 Late Stages of Life: Agin
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Late Stages of Life: Aging, Death,
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Late Stages of Life: Aging, Death,
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CHAPTER 4 Psychoanalytic Theory Wha
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Psychoanalytic Theory 27 What are t
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Psychoanalytic Theory 29 Which defe
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Table 4.1 Defense Mechanism Descrip
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Psychoanalytic Theory 33 CLINICAL V
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CHAPTER 5 Learning Theory What is b
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Learning Theory 37 What is the term
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Learning Theory 39 What are the dif
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Learning Theory 41 What is sensitiz
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CHAPTER 6 Sleep Science and Disorde
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Sleep Science and Disorders 45 Whic
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Sleep Science and Disorders 47 In a
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CHAPTER 7 Sexuality SEXUAL DEVELOPM
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Sexuality 51 What is the sexual ori
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Sexuality 53 Which disorder is char
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Sexuality 55 Which postmyocardial i
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CHAPTER 8 Abuse and Aggression CHIL
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Abuse and Aggression 59 Which gende
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Abuse and Aggression 61 SEXUAL VIOL
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Abuse and Aggression 63 Why are man
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CHAPTER 9 Suicide SUICIDE What is i
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Suicide 67 At what stage, in treate
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CHAPTER 10 Genetic Basis of Behavio
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Genetic Basis of Behavior 71 Do per
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Genetic Basis of Behavior 73 A 19-y
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CHAPTER 11 Neurochemistry in Behavi
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Neurochemistry in Behavioral Scienc
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SECTION II Psychiatric Disorders an
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CHAPTER 12 Psychotic Disorders INTR
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Psychotic Disorders 87 Schizophreni
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Psychotic Disorders 89 Does gender
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Psychotic Disorders 91 What are som
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CHAPTER 13 Mood Disorders What are
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Mood Disorders 95 Table 13.1 SSRIs
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Mood Disorders 97 Table 13.2 Other
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Mood Disorders 99 What is electroco
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Mood Disorders 101 How do you diagn
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CHAPTER 14 Anxiety Disorders What a
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Anxiety Disorders 105 What differen
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Anxiety Disorders 107 What differen
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Anxiety Disorders 109 What characte
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CHAPTER 15 Cognitive Disorders Name
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Cognitive Disorders 113 How does de
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Cognitive Disorders 115 AMNESTIC SY
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CHAPTER 16 Somatoform Disorders Wha
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Somatoform Disorders 119 What is th
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Somatoform Disorders 121 BODY DYSMO
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Somatoform Disorders 123 What is th
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CHAPTER 17 Personality Disorders Wh
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Personality Disorders 127 What is t
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Personality Disorders 129 What are
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Personality Disorders 131 How can a
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Personality Disorders 133 CLINICAL
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CHAPTER 18 Dissociative Disorders W
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Dissociative Disorders 137 A 42-yea
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CHAPTER 19 Substance Abuse Disorder
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Page 160 and 161: Substance Abuse Disorders 143 What
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Page 168 and 169: Substance Abuse Disorders 151 CLINI
Page 170 and 171: CHAPTER 20 Eating Disorders What ar
Page 172 and 173: Eating Disorders 155 What are commo
Page 174 and 175: Eating Disorders 157 A 12-year-old
Page 176 and 177: CHAPTER 21 Child Psychiatry PERVASI
Page 178 and 179: Child Psychiatry 161 What happens t
Page 180 and 181: Child Psychiatry 163 In which age g
Page 182 and 183: CHAPTER 22 Psychopharmacology What
Page 184 and 185: Psychopharmacology 167 Which benzod
Page 186 and 187: Psychopharmacology 169 What are the
Page 188 and 189: Psychopharmacology 171 What is the
Page 190 and 191: Psychopharmacology 173 Which pharma
Page 192 and 193: SECTION III Ethics, Health Care, an
Page 194 and 195: CHAPTER 23 Clinical Practice and Di
Page 196 and 197: Clinical Practice and Difficult Sit
Page 198 and 199: CHAPTER 24 Medical Ethics and Legal
Page 200 and 201: Medical Ethics and Legal Issues 183
Page 210 and 211: Health Care in the United States 19
Page 216 and 217: CHAPTER 26 Epidemiology and Researc
Page 218 and 219: Epidemiology and Research Design 20
Page 226 and 227: CHAPTER 27 Biostatistics STATISTICA
Page 228 and 229: Biostatistics 211 What is a depende
Page 230 and 231: Biostatistics 213 If the sample siz
Page 232 and 233: Biostatistics 215 Which type of t-t
Page 234 and 235: Index A Abnormal thought formation,
Page 236 and 237: Index 219 Celexa. See Citalopram Ce
Page 238 and 239: Index 221 F Factitious disorder, 11
Page 240 and 241: Index 223 Negative predictive value
Page 242 and 243: Index 225 Schizophrenia (Cont.): do
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Behavioral Science

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