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  2. Nursing care plan - Wikipedia

    Nursing care plans provide continuity of care, safety, quality care and compliance. A nursing care plan promotes documentation and is used for reimbursement purposes such as Medicare and Medicaid . The therapeutic nursing plan is a tool and a legal document that contains priority problems or needs specific to the patient and the nursing ...

  3. Affordable Care Act - Wikipedia

    The percentages of health care costs that plans are expected to cover through premiums (as opposed to out-of-pocket costs) are, on average: 60% (bronze), 70% (silver), 80% (gold), and 90% (platinum). Insurers are required to implement an appeals process for coverage determination and claims on all new plans.

  4. Managed care - Wikipedia

    Managed care plans and strategies proliferated and quickly became nearly ubiquitous in the U.S. However, this rapid growth led to a consumer backlash. Because many managed care health plans are provided by for-profit companies, their cost-control efforts are driven by the need to generate profits and not providing health care.

  5. Health insurance in the United States - Wikipedia

    Health care costs in the United States vary enormously between plans and geographical regions, even when input costs are fairly similar, and rise very quickly. Health care costs have risen faster than economic growth at least since the 1970s.

  6. Advance care planning - Wikipedia

    Advance care planning is a process that enables individuals to make plans about their future health care.Advance care plans provide direction to healthcare professionals when a person is not in a position to make and/or communicate their own healthcare choices.

  7. Medicare Advantage - Wikipedia

    Most Medicare Advantage plans are managed care plans (e.g., PPOs or HMOs) with limited provider networks, whereas virtually every physician and hospital in the U.S. accepts Original Medicare. Both charge a premium for Part B benefits, and about 40% of Medicare Advantage enrollees with prescription drug benefits pay an additional premium. [5]

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