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part c — fill in the blank 11. the two major healthcare delivery models…

Question

part c — fill in the blank

  1. the two major healthcare delivery models are ____________ and ____________.
  2. a(n) ______________ is an out - of - pocket expense you pay when you go to the doctor.
  3. ______________ is the splitting of the bill between you and your insurance provider.
  4. a(n) ______________ is the amount you pay first before insurance helps.
  5. medicaid is a program for people with ______________ income.

part d — short answer (1–3 sentences)

  1. describe one negative effect of private healthcare and explain why it matters.
  1. what is the difference between an hmo and a ppo?
  1. list two barriers to healthcare access and explain how they affect patients.

part e — matching
match each term to the correct description. write the letter on the line.

terms
a. public healthcare model e. hmo
b. private healthcare model f. ppo
c. medicare g. deductible
d. medicaid

descriptions

  1. ___ healthcare funded mainly by taxpayers.
  2. ___ healthcare paid for by individuals/companies, not the government.
  3. ___ federally funded insurance program.
  4. ___ program for people with low income; jointly financed by state and federal government.
  5. ___ health maintenance organization.
  6. ___ preferred provider organization.
  7. ___ amount you must pay first before insurance begins helping.

Explanation:

Part C - Fill in the Blank
  1. The two major healthcare delivery models are Public Healthcare Model and Private Healthcare Model (or common models like HMO and PPO, but public/private are major overarching models).
  2. A(n) Copayment is an out - of - pocket expense you pay when you go to the doctor.
  3. Coinsurance is the splitting of the bill between you and your insurance provider.
  4. A(n) Deductible is the amount you pay first before insurance helps.
  5. Medicaid is a program for people with low income.
Part D - Short Answer
  1. One negative effect of private healthcare is high cost. Private providers aim for profit, so services like consultations or surgeries can be expensive. This matters because it may prevent low - income people from getting necessary care, worsening health disparities.
  2. An HMO (Health Maintenance Organization) requires patients to use in - network providers and often needs a primary care physician’s referral for specialists. A PPO (Preferred Provider Organization) allows more flexibility, including out - of - network care (though at a higher cost) and no referral needed for specialists.
  3. Two barriers to healthcare access: 1) Financial barriers (e.g., high insurance premiums or out - of - pocket costs). They affect patients by making care unaffordable, so they may skip needed treatments. 2) Geographic barriers (e.g., living in rural areas with few clinics/hospitals). This makes it hard for patients to reach care, leading to delayed or missed treatment.
Part E - Matching
  1. Healthcare funded mainly by taxpayers. → A. Public Healthcare Model
  2. Healthcare paid for by individuals/companies, not the government. → B. Private Healthcare Model
  3. Federally funded insurance program. → C. Medicare
  4. Program for people with low income; jointly financed by state and federal government. → D. Medicaid
  5. Health Maintenance Organization. → E. HMO
  6. Preferred Provider Organization. → F. PPO
  7. Amount you must pay first before insurance begins helping. → G. Deductible

Answer:

s (Key Entries)

Part C
  1. Public Healthcare Model; Private Healthcare Model (or HMO; PPO)
  2. Copayment
  3. Coinsurance
  4. Deductible
  5. low
Part E
  1. A
  2. B
  3. C
  4. D
  5. E
  6. F
  7. G