FROM MY PT SCHOOL NOTES · HEALTHCARE · UNIT 1 OF 5
Healthcare Systems & Insurance
Understand care settings, government, insurance and the structure of Medicare/payment.
Chapters
HEALTHCARE SYSTEMS UNIT 01 · 5 CHAPTERS
01How healthcare delivery evolvedKey concepts, practice implications and current-policy cautions02Government, coverage and public policyKey concepts, practice implications and current-policy cautions03Insurance: how payment risk is sharedKey concepts, practice implications and current-policy cautions04Medicare: Parts A, B, C and DKey concepts, practice implications and current-policy cautions05Physician fee schedule and RVUsKey concepts, practice implications and current-policy cautionsStudy principle: Ask who sets the rule, which population and setting it covers, and whether the policy is current. Financial decisions must not override clinical necessity.