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U.S. Department of Health &

Human Services

Provide services

Liability

Skilled nursing facilities

Rehab

Facilities

Hospitals

Ambulatory surgery centers

Purchase

Outpatient clinics

Specialty hospitals

Durable medical equipment

Pharmaceuticals

Payment

Suppliers

Coverage eligibility

Utilization management

Seek reimbursement

Supplies

Medical devices

Equipment - MRI, CT scanner, etc.

Fee for service

Capitation

Bundled payment

Ownership

Employment

Medical staff

Conduct

Contract

Insurance

Financing

Sponsors research

Develops

The U.S. Health Care System

Employer

Individual

Government

Centers for Medicare &

Medicaid Services

Out-of-Pocket

Federal

State

Local

National Institutes

of Health

Food and Drug

Administration

Others: HRSA,

SAMHSA, IHS, etc.

Centers for Disease

Control & Prevention

Provider-patient relationship

Liability

Self-pay

Co-payments

Deductibles

Premiums

Education/Research

Private research sponsors

Academic medical centers

Universities

Payment

Fee for Service

Capitation (managed care)

Other (quality incentives)

Investigators

Train workforce

Technicians

Laboratories

Nurses

Workforce / Providers

Physicians

Physicians Assistants

Mental health

Health Reform Quiz:

http://healthreform.kff.org/quizzes/health-reform-quiz.aspx

Health Reform Animation: http://healthreform.kff.org/the-animation.aspx?source=QL

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