Updated: 4/24/2019

Health Insurance

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Overview
  • Medicare and Medicaid 
  • Federal social insurance programs
    • were created as part of the Social Security Act
  • Medicare
    • Covers the elderly (65+ years)
    • Also covers ESRD
    • 2 main parts 
      • Part A pays the hospital
      • Part B pays physicians
      • Part C are all-in-one plans
      • Part D provides prescription drug benefits
  • Medicaid
    • For low income people
    • Federal and state components
Physician Compensation
  • Capitation
    • fixed amount of money per patient per unit of time over which services are rendered
  • Fee-for-service  
    • physician is paid separately for each service rendered
  • Salary
    • fixed amount of money paid physician irrespective of services rendered

References

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