Institute: ONC | Component: 1 | Unit: 4 | Lecture: d | Slide: 28
Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:Introduction to Health Care and Public Health in the U.S.
Unit:Financing Health Care - Part 1
Lecture:Payors in the U.S. Health Care System
Slide content:Financing Health Care, Part 1 Summary 2 Lecture d States license and regulate private insurance Types of plans include indemnity, Blue Cross and Blue Shield and managed care plans Managed care uses techniques that result in lower health care costs and improved quality Some Federal laws regulate private health insurance ERISA, COBRA, HIPAA, and the Affordable Care Act 28
Slide notes:Individual organizations run private insurance and operate under state and Federal laws. Different types of insurance plans include indemnity plans, Blue Cross Blue Shield plans, and managed care plans. The term managed care is used to describe techniques designed to provide comprehensive health care, manage outcomes and quality, and control costs. Managed care balances choice with cost, where fewer choices translate to lower insurance premiums and lower out-of-pocket costs. Both state and federal laws regulate private health insurance. The most important federal laws regulating insurance are ERISA, COBRA, HIPAA, and the Affordable Care Act. 28