Healthcare Organizational Structure and Insurance

What was the Baylor Plan, and who was it originally created for?

• • A private plan for wealthy business owners

• A nationwide insurance policy for military families

• • A government program for farmers in the 1930s

• A prepaid insurance plan for Dallas schoolteachers in 1929

Which major insurance organizations grew directly out of the Baylor Plan?

• • Health Maintenance Organizations (HMOs)

• Medicare and Medicaid

• Red Cross and Doctors Without Borders

• Blue Cross and later Blue Shield

What is the main purpose of an organizational structure in a healthcare facility?

• To outline responsibilities and ensure smooth operations

• To limit communication between staff

• To increase patient costs

• To reduce the number of staff members needed

Why is it important for healthcare employees to know the organizational structure of their workplace?

• • So they can avoid following rules

• So they know who to report to and how responsibilities are organized

• So they know what to wear

• So they know where to park

Which is a federal insurance program for people 65+

• Medicare

• Medicaid

• CHIP

• TRICARE

 If a doctor is in-network, what does that mean for the patient?

• The cost is usually lower

• The doctor works for the government

•  The insurance company refuses to pay

• The patient can’t see that doctor

Which government insurance program is designed for low-income families?

• Medicare

• Medicaid

• Workers’ Compensation

• PPO

Which plan provides care for military members and their families?

• Workers’ Compensation

•  Medicaid

• Medicare

• Tricare

What does co-pay mean?

• A percentage of the medical cost you must pay

•  The monthly amount you pay for insurance

• A fixed dollar amount you pay for a healthcare service (like $20 for a doctor visit)

• The total amount you pay in a year

What is the main purpose of health insurance?

• To make hospitals richer

• To help pay the cost of healthcare services

• To avoid going to the doctor

• To guarantee free healthcare