Capitation (healthcare)Capitation is a payment arrangement for health care service providers. It pays a set amount for each enrolled person assigned to them, per period of time, whether or not that person seeks care. The amount of remuneration is based on the average expected health care utilization of that patient, with payment for patients generally varying by age and health status. There are differing arrangements in different healthcare systems.
Anthem (entreprise)Anthem, anciennement Wellpoint, est une entreprise américaine d'assurance maladie et le plus grand membre de la . Basée à Indianapolis, dirigée par Gail Koziara Boudreaux et cotée au New York Stock Exchange, l'entreprise de a fait un chiffre d'affaires de 56,953 milliards de dollars en 2006. Anthem est issue de la fusion entre WellPoint Health Networks et Anthem Insurance Company en 2004, l'entreprise a ensuite pris pour nom Wellpoint jusqu'en 2014, où elle reprit son nom actuel.
Health administrationHealth administration, healthcare administration, healthcare management or hospital management is the field relating to leadership, management, and administration of public health systems, health care systems, hospitals, and hospital networks in all the primary, secondary, and tertiary sectors. Health systems management or health care systems management describes the leadership and general management of hospitals, hospital networks, and/or health care systems. In international use, the term refers to management at all levels.
Protocole de soinsA medical guideline (also called a clinical guideline, standard treatment guideline, or clinical practice guideline) is a document with the aim of guiding decisions and criteria regarding diagnosis, management, and treatment in specific areas of healthcare. Such documents have been in use for thousands of years during the entire history of medicine. However, in contrast to previous approaches, which were often based on tradition or authority, modern medical guidelines are based on an examination of current evidence within the paradigm of evidence-based medicine.
Philosophy of healthcareThe philosophy of healthcare is the study of the ethics, processes, and people which constitute the maintenance of health for human beings. (Although veterinary concerns are worthy to note, the body of thought regarding their methodologies and practices is not addressed in this article.) For the most part, however, the philosophy of healthcare is best approached as an indelible component of human social structures.
Out-of-pocket expenseAn out-of-pocket expense (or out-of-pocket cost, OOP) is the direct payment of money that may or may not be later reimbursed from a third-party source. For example, when operating a vehicle, gasoline, parking fees and tolls are considered out-of-pocket expenses for a trip. Car insurance, oil changes, and interest are not, since the outlay of cash covers expenses accrued over a longer period of time. The services rendered and other in-kind expenses are not considered out-of-pocket expenses; the same goes for depreciation of capital goods or depletion.
Disability insuranceDisability Insurance, often called DI or disability income insurance, or income protection, is a form of insurance that insures the beneficiary's earned income against the risk that a disability creates a barrier for completion of core work functions. For example, the worker may be unable to maintain composure in the case of psychological disorders or sustain an injury, illness or condition that causes physical impairment or incapacity to work. DI encompasses paid sick leave, short-term disability benefits (STD), and long-term disability benefits (LTD).
Healthcare industryThe healthcare industry (also called the medical industry or health economy) is an aggregation and integration of sectors within the economic system that provides goods and services to treat patients with curative, preventive, rehabilitative, and palliative care. It includes the generation and commercialization of goods and services lending themselves to maintaining and re-establishing health.
Protection sociale aux États-UnisLa protection sociale aux États-Unis, qui englobe plusieurs programmes dont la sécurité sociale, couvre 85 % de la population américaine. Même si les droits sociaux ne sont pas inscrits dans la Constitution des États-Unis, le gouvernement de cette nation applique, depuis le New Deal et la création de l'État-providence (Welfare State) plusieurs programmes afin d’aider les personnes en difficulté. En 2000, 180 millions d’américains (pour une population totale d'environ 300 millions) bénéficiaient de la Sécurité sociale.
