Title: Differentiate among the types of health insurance.
Course: Introduction to Health and Medical Sciences (14001-I) > Section: Understanding the U.S. Healthcare System

Differentiation should include

- preferred provider organization (PPO)
- health maintenance organization (HMO)
- Medicare
- Medicaid
- private insurance
- managed care
- workers’ compensation
- State Children’s Health Insurance Program (SCHIP)
- Affordable Care Act
- TRICARE
- diagnosis-related groups
- health savings accounts (HAS)
- Veterans Affairs (VA) benefits
- and other agency programs.

Where applicable, differentiation should include elements of health insurance, such as

- premiums
- deductibles
- co-insurance
- copayment.

Process/Skill Questions:

- Why are there various types of health insurance?
- Who determines who is eligible for various types of health insurance?
- What happens to patients who are not insured?
- How are Medicare and Medicaid similar? How are they different?
- How has the development of managed care influenced the cost of medical care?
- What is the difference between an HMO and a PPO?
- What is the purpose of workers’ compensation?
- What does the Affordable Care Act provide related to coverage, cost, and care?
- What happens to citizens who do not comply with the “minimum essential” health insurance coverage requirement?