United States health care system

GPTKB entity

Statements (109)
Predicate Object
gptkbp:instanceOf gptkb:hospital
gptkbp:country gptkb:United_States
gptkbp:feature gptkb:Medicaid_for_low-income_individuals
gptkb:Medicare_for_people_65_and_older
electronic health records adoption increasing
employer-based insurance common
fee-for-service model prevalent
high administrative costs
high per capita spending
medical bankruptcies common
medical education expensive
medical research significant
private insurance dominant
public insurance for elderly and low-income
significant uninsured population
telemedicine increasing
life expectancy lower than other developed countries
health maintenance organizations (HMOs) and preferred provider organizations (PPOs) common
health care workforce includes physicians, nurses, allied health professionals
emergency care required regardless of ability to pay
public health agencies at federal, state, and local levels
ACA marketplaces for individual insurance
COVID-19 pandemic impacted system
Children's Health Insurance Program for children
COBRA allows temporary continuation of employer coverage
Indian Health Service for Native Americans
federally qualified health centers serve underserved populations
Medicaid expansion varies by state
Medicaid funded by federal and state governments
Medicaid waivers allow state flexibility
Medicare Advantage plans available
Medicare Part D covers prescription drugs
Medicare funded by payroll taxes
Medigap policies supplement Medicare
National Institutes of Health funds research
preventive services covered without cost-sharing under ACA
Veterans Health Administration for veterans
accountable care organizations promoted by ACA
community health centers provide primary care
dental and vision coverage often separate
essential health benefits required under ACA
for-profit hospitals exist
fragmented delivery system
graduate medical education funded by Medicare
health care spending over 17% of GDP
health disparities by race and income
health insurance exchanges established by ACA
high prescription drug costs
high technology adoption
hospital systems often nonprofit
long-term care coverage limited
malpractice litigation common
managed care common
medical device industry influential
mental health services coverage variable
no universal health coverage
opioid epidemic significant public health issue
out-of-pocket payments significant
patient-centered medical homes promoted
pharmaceutical industry influential
pre-existing condition protections under ACA
primary care physician shortage
private insurance regulated at state level
public reporting of hospital quality measures
safety net hospitals for uninsured
significant role of private sector
specialist care prevalent
teaching hospitals prominent
telehealth expanded during COVID-19 pandemic
uninsured rate about 8% (as of 2022)
value-based payment models expanding
public health insurance covers about 37% of population
lifetime and annual coverage limits banned under ACA
Food and Drug Administration regulates drugs and devices
infant mortality higher than other developed countries
health disparities addressed by federal initiatives
private health insurance covers about 55% of population
Centers for Disease Control and Prevention involved in public health
subsidies for low-income individuals on ACA exchanges
https://www.w3.org/2000/01/rdf-schema#label United States health care system
gptkbp:main_private_programs employer-sponsored insurance
individual health insurance
gptkbp:main_public_programs gptkb:Medicaid
gptkb:Medicare
gptkb:Children's_Health_Insurance_Program
gptkb:Veterans_Health_Administration
gptkbp:mainLegalCode gptkb:Consolidated_Omnibus_Budget_Reconciliation_Act
gptkb:Family_and_Medical_Leave_Act
gptkb:Social_Security_Act
gptkb:Public_Health_Service_Act
gptkb:Health_Insurance_Portability_and_Accountability_Act
gptkb:Mental_Health_Parity_and_Addiction_Equity_Act
gptkb:Affordable_Care_Act
gptkb:Children's_Health_Insurance_Program
gptkb:Patient_Protection_and_Affordable_Care_Act
gptkb:Medicare_Prescription_Drug,_Improvement,_and_Modernization_Act
gptkb:Medicare_Act
gptkb:No_Surprises_Act
gptkb:American_Recovery_and_Reinvestment_Act
gptkb:Children's_Health_Insurance_Program_Reauthorization_Act
gptkb:Medicaid_Act
gptkb:Medicare_Access_and_CHIP_Reauthorization_Act
gptkb:Emergency_Medical_Treatment_and_Labor_Act
gptkbp:regulates gptkb:Department_of_Health_and_Human_Services
gptkb:Centers_for_Medicare_&_Medicaid_Services
state governments
gptkbp:type mixed public and private
gptkbp:bfsParent gptkb:Critical:_What_We_Can_Do_About_the_Health-Care_Crisis
gptkbp:bfsLayer 6