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[97b600e8-090e-4a82-9adf-538b484a41a6] Medicine is the art,[1] science,[2] and practice[3] of caring for a patient and managing the diagnosis, prognosis, prevention, treatment or palliation of their injury or disease. Medicine encompasses a variety of health care practices evolved to maintain and restore health by the prevention and treatment of illness. Contemporary medicine applies biomedical sciences, biomedical research, genetics, and medical technology to diagnose, treat, and prevent injury and disease, typically through pharmaceuticals or surgery, but also through therapies as diverse as psychotherapy, external splints and traction, medical devices, biologics, and ionizing radiation, amongst others.[4]. . Health care providers in the United States encompass individual health care personnel, health care facilities and medical products.. . Facilities. . Main articles: Medical centers in the United States and Category:Hospital networks in the United States. In the United States, ownership of the healthcare system is mainly in private hands, though federal, state, county, and city governments also own certain facilities.. . As of 2018, there were 5,534 registered hospitals in the United States. There were 4,840 community hospitals, which are defined as nonfederal, short-term general, or specialty hospitals.[57] The non-profit hospitals share of total hospital capacity has remained relatively stable (about 70%) for decades.[58] There are also privately owned for-profit hospitals as well as government hospitals in some locations, mainly owned by county and city governments. The Hill-Burton Act was passed in 1946, which provided federal funding for hospitals in exchange for treating poor patients.[59] The largest hospital system in 2016 by revenue was HCA Healthcare;[60] in 2019, Dignity Health and Catholic Health Initiatives merged into CommonSpirit Health to create the largest by revenue, spanning 21 states.[61]. . Integrated delivery systems, where the provider and the insurer share the risk in an attempt to provide value-based healthcare, have grown in popularity.[62] Regional areas have separate healthcare markets, and in some markets competition is limited as the demand from the local population cannot support multiple hospitals.[63][64]. . About two-thirds of doctors practice in small offices with less than seven physicians, with over 80% owned by physicians; these sometimes join groups such as independent practice associations to increase bargaining power.[65]. . There is no nationwide system of government-owned medical facilities open to the general public but there are local government-owned medical facilities open to the general public. The U.S. Department of Defense operates field hospitals as well as permanent hospitals via the Military Health System to provide military-funded care to active military personnel.[citation needed]. . The federal Veterans Health Administration operates VA hospitals open only to veterans, though veterans who seek medical care for conditions they did not receive while serving in the military are charged for services. The Indian Health Service (IHS) operates facilities open only to Native Americans from recognized tribes. These facilities, plus tribal facilities and privately contracted services funded by IHS to increase system capacity and capabilities, provide medical care to tribespeople beyond what can be paid for by any private insurance or other government programs.. . Hospitals provide some outpatient care in their emergency rooms and specialty clinics, but primarily exist to provide inpatient care. Hospital emergency departments and urgent care centers are sources of sporadic problem-focused care. Surgicenters are examples of specialty clinics. Hospice services for the terminally ill who are expected to live six months or less are most commonly subsidized by charities and government. Prenatal, family planning, and dysplasia clinics are government-funded obstetric and gynecologic specialty clinics respectively, and are usually staffed by nurse practitioners.[citation needed] Services, particularly urgent-care services, may also be delivered remotely via telemedicine by providers such as Teladoc.. . Besides government and private health care facilities, there are also 355 registered free clinics in the United States that provide limited medical services. They are considered to be part of the social safety net for those who lack health insurance. Their services may range from more acute care (i.e. STDs, injuries, respiratory diseases) to long term care (i.e. dentistry, counseling).[66] Another component of the healthcare safety net would be federally funded community health centers.. . Other health care facilities include long-term housing facilities which as of 2019, there were 15,600 nursing homes across the United States. With only a large portion of that number being for=profit (69.3%) [67]. . Physicians (M.D. and D.O.). . Main article: Physician in the United States. Physicians in the U.S. include those trained by the U.S. medical education system, and those that are international medical graduates who have progressed through the necessary steps to acquire a medical license to practice in a state.[citation needed] This includes going through the three steps of the United States Medical Licensing Examination (USMLE). The first step of the USMLE tests whether medical students both understand and are capable of applying the basic scientific foundations to medicine after the second year of medical school. The topics include: anatomy, biochemistry, microbiology, pathology, pharmacology, physiology, behavioral sciences, nutrition, genetics, and aging. The second step is designed to test whether medical students can apply their medical skills and knowledge to actual clinical practice during students’ fourth year of medical school. The step 3 is done after the first year of residency. It tests whether students can apply medical knowledge to the unsupervised practice of medicine.[68][unreliable source?]. . The American College of Physicians, uses the term "physician" to describe all medical practitioners holding a professional medical degree. In the U.S., the vast majority of physicians have a Doctor of Medicine (M.D.) degree.[69] Those with Doctor of Osteopathic Medicine (D.O.) degrees get similar training and go through the same MLE steps as MD's and so are also allowed to use the title "physician".. . Medical products, research and development. . As in most other countries, the manufacture and production of pharmaceuticals and medical devices is carried out by private companies. The research and development of medical devices and pharmaceuticals is supported by both public and private sources of funding. In 2003, research and development expenditures were approximately $95 billion with $40 billion coming from public sources and $55 billion coming from private sources.[70][71] These investments into medical research have made the United States the leader in medical innovation, measured either in terms of revenue or the number of new drugs and devices introduced.[72][73] In 2016 the research and development spending by pharmaceutical companies in the U.S. was estimated to be around 59 billion dollars.[74] In 2006, the United States accounted for three quarters of the world's biotechnology revenues and 82% of world R&D spending in biotechnology.[72][73] According to multiple international pharmaceutical trade groups, the high cost of patented drugs in the U.S. has encouraged substantial reinvestment in such research and development.[72][73][75] Though the Affordable Care Act will force industry to sell medicine at a cheaper price.[76] Due to this, it is possible budget cuts will be made on research and development of human health and medicine in America.[76]. . Healthcare provider employment in the United States. . A major impending demographic shift in the United States will require the healthcare system to provide more care, as the older population is predicted to increase medical expenses by 5% or more in North America [77] due to the "baby boomers" reaching retirement age.[78] The overall spending on health care has increased since the late 1990s, and not just due to general price raises as the rate of spending is growing faster than the rate of inflation.[79] Moreover, the expenditure on health services for people over 45 years old is 8.3 times the maximum of that of those under 45 years old.[80]. . Alternative medicine. . Other methods of medical treatment are being practiced more frequently than before. This field is labeled Complementary and Alternative Medicine (CAM) and are defined as therapies generally not taught in medical school nor available in hospitals. They include herbs, massages, energy healing, homeopathy, faith healing, and, more recently popularized, cryotherapy, cupping, and Transcranial Magnetic Stimulation or TMS.[81] Common reasons for seeking these alternative approaches included improving their well-being, engaging in a transformational experience, gaining more control over their own health, or finding a better way to relieve symptoms caused by chronic disease. They aim to treat not just physical illness but fix its underlying nutritional, social, emotional, and spiritual causes. In a 2008 survey, it was found that 37% of hospitals in the U.S. offer at least one form of CAM treatment, the main reason being patient demand (84% of hospitals).[82] Costs for CAM treatments average $33.9 with two-thirds being out-of-pocket, according to a 2007 statistical analysis.[83] Moreover, CAM treatments covered 11.2% of total out-of-pocket payments on health care.[83] During 2002 to 2008, spending on CAM was on the rise, but usage has since plateaued to about 40% of adults in the U.S.[84] The U.S. legally defines Christian Science practitioners as healthcare providers.[85]. . . Guide to Health Insurance Basics & How Health Insurance Works | eHealth. . Health Insurance 101: A Comprehensive Guide to Health Insurance. . Updated on January 28, 2021. . When choosing the right health insurance plan for your specific needs and budget, it’s important to consider all the options available to you. However, we understand that this is easier said than done, and that there are a lot of confusing factors to keep in mind.. . Whether you’re trying to find the best type of plan to choose through your employer-sponsored coverage, or you’re just beginning to look into your individual health insurance options, this guide aims to breakdown the basics and provide you with additional resources to supplement your insurance journey.. . Consider this page as a crash course in all things health insurance! We’ll cover:. . The different coverage types. HMOs and PPOs. HRAs and HSAs. Key health insurance terms. How much health insurance costs. What the different health insurance metal levels are. When you can buy health insurance. And where you can buy health insurance. You can also reach out to our team of licensed insurance agents for additional help at any time. This is a free service and there is no obligation to purchase. Our agents are here to offer you unbiased help so that you make the right decision for you and your budget.. . What are the different types of health Insurance?. . There are several different types of insurance plans you can buy to get coverage for health and other care like routine vision or dental.. . Here is an overview of the different types of coverage you can buy:. . Employer-sponsored: This health insurance coverage is also called group or small group coverage. This is the type of health insurance you usually get through work. Group health insurance allows you to split the cost of your monthly premium with your employer, and you’ll pay other cost-sharing payments.. Individual and Family Plans: This health insurance is coverage you enroll in by yourself. These plans, also called Affordable Care Act (ACA) plans or Obamacare plans, are available to everyone. You can either buy them through your state or federal marketplace, health insurance companies, or brokers like eHealth.. Medicare: Medicare is a federal health insurance program that insures seniors aged 65+. Beneficiaries can choose to get their coverage through a private insurance company with a Medicare Advantage plan, also called Medicare Part C, or through the government. If they stick with Original Medicare, they can get extra coverage with a Medicare Supplement Insurance plan and prescription drug coverage through Medicare Part C. If you qualify for Medicare, you can find more information or shop for Medicare plans with eHealth.. Short-term: Enrolling in short-term, or temporary, health insurance plans can help bridge any gaps in coverage you may have for short periods of time (anywhere from a few months to 3 years in some states).. Dental: Most medical insurance does not cover routine dental care. In order to get insurance for things like cleanings or root-canals you’ll need to enroll in a separate dental insurance plan.. Vision: Most medical insurance does not cover routine vision care. In order to get insurance for things like eye exams, glasses, and contacts you’ll need to enroll in a separate vision plan.. Other: In addition to these most common types of health insurance, there are some other types of health insurance that either require special circumstances to qualify for or only cover specific needs (accident insurance, Medicaid, CHIP, etc.). Check out eHealth’s resource center to find out more about all health insurance plan types or contact a licensed agent with eHealth if you’re not finding what you’re looking for.. HMO vs PPO. . These abbreviations may be familiar to you since they’re thrown around a lot when talking about insurance, but what do they mean?. . Health Maintenance Organizations (HMOs) and Preferred Provider Organizations (PPOs) are two of the most popular types of major medical health insurance plans. There are a few notable differences between HMOs and PPOs:. . Primary Care Doctors and referrals: With an HMO you’ll have a primary care doctor who you (and your family) will go to for most health care needs. If you want to see a specialist, you must get a referral from your primary care doctor. You also cannot receive coverage for going out of network. With a PPO you do not need to name a primary care doctor, get a referral to go to a specialist, and you may have to pay more for out of network care.. Premium costs: HMOs tend to have lower premiums than PPOs – though this can differ from plan to plan.. Plan costs: With HMOs deductibles are rare and copays are usually minimal, though this can differ from plan to plan. PPOs may have deductibles and may have higher copays.. Filing claims: With HMOs you typically don’t have to file any claims yourself. With PPOs you may have to file some claims – especially if you go out of network for care.. When deciding between an HMO or a PPO it’s important to consider your budget but also your health care needs and preferences. For instance, if you’re on a tight budget an HMO may be a better option for you. However, if flexibility with your health care is important to you a PPO may be the right choice.. . Making these decisions can be difficult and daunting considering you typically are locked into your plan for a full calendar year. If you’re having a hard time making a decision, or just need someone to talk through your options with, eHealth’s licensed insurance agents are here to help you make the right decision for your specific needs.. . If you need help making the decision between an HMO or a PPO for your small business, eHealth can help with that too!. . HSAs vs HRAs. . You may have seen these other acronyms when shopping for health insurance or looking through your benefits package through your job.. . HSAs and HRAs both help you pay qualified medical expenses, such as:. . Most medical care. Most dental care. Most vision care. And Over-the-counter drugs. While they both help you pay for medical expenses, they are very different:. . HSAs, or Health Savings Account, is a tax-advantaged account owned by an individual with a high deductible health insurance plan. Both the person on the account and their employer can contribute a certain amount of money to the account each year.. HRAs, or Health Reimbursement Arrangements, are employer-funded plans where employees can be reimbursed by their employer for qualified medical expenses and insurance premiums. These are not bank accounts, they are an agreement between employee and employer.. Additionally, FSAs are a similar arrangement to HSAs, but the tax-advantaged account is connected to the employer rather than the employee.. Another notable difference between HSAs and HRAs is that because HSAs are owned by the employee, they stay with them even if they chose to leave their job. You can learn more about the differences between HRAs and HSAs in our more detailed article.. . Key health insurance terms explained. . There is plenty of confusing health insurance industry jargon that you’re bound to encounter when you’re shopping for coverage. Let’s define some of these key terms:. . Premium: Your premium is the amount of money you pay to your health insurance company each month to stay enrolled in your plan and keep your coverage.. Deductible: This is the amount of money you must pay out-of-pocket before your health insurance starts paying for health care services.. Copay: Copays are types of cost sharing payments you may have to make out-of-pocket when you receive certain health care services or medications. They’re typically a flat rate; for example, $10 per doctor’s visit or $15 for certain medications.. Coinsurance: Coinsurances are another type of cost sharing payment you may have to make out-of-pocket when receiving certain health care services or Medications. These are usually in the form of a percentage. For instance, let’s say you have a 10% coinsurance for a doctor’s visit that costs $100. You will pay $10 for every $100 your insurance pays for a doctor’s visit.. Out-of-pocket maximum: This is a cap on how much you’ll have to pay out of pocket for health care in one year. After you reach this amount your insurer will pay for your covered care in full for the rest of the year. For example, if you have a $44,000 out-of-pocket limit and you’ve met your $4,000 deductible and paid $40,000 in other cost-sharing payments (like copays or coinsurances), you’ve met your limit and your insurance company will pay for any covered care for the rest of the year. Affordable Care Act compliant plans require all major medical health insurance plans to have an annual out-of-pocket maximum for each beneficiary.. What are the health insurance metal levels?. . Every health insurance plan is categorized by different metal ratings based on how much coverage they offer. There are 5 levels of coverage you can get with an ACA plan:. . Bronze: You can expect to pay 40% of the costs for covered care with your plan paying 60%, these plans have the highest out-of-pocket costs with the lowest premiums.. Silver: You can expect to pay 30% of the costs for covered care with your plan paying 70%, these plans have high out-of-pocket costs with low premiums.. Gold: You can expect to pay 20% of the costs for covered care with your plan paying 80%, these plans have low out-of-pocket costs with high premiums.. Platinum: You can expect to pay 10% of the costs for covered care with your plan paying 90%, these plans have the lowest out-of-pocket costs with the highest premiums.. Catastrophic coverage: In addition to the 4 metallic levels of coverage, you may have the choice to get a plan with catastrophic coverage. Catastrophic coverage is a type of coverage available to those under 30 or those who qualify for a “hardship exemption”. They are designed to protect you in a worst-case scenario, hence the name “catastrophic” coverage. These plans have very high-deductibles and low premiums.. How much does health insurance cost?. . The cost for health insurance plans varies greatly depending on the type of plan and level of coverage. Even if you stay with the same health insurance plan year after year, you can expect the cost of your plan to change yearly.. . Compare quotes and find affordable health insurance.. . According to a recent study by eHealth, the average health insurance premium is $484 for individuals and $1,230 for families. However, actual prices available depend on zip code, age, gender, and other factors. Browse health insurance by state to find plans and see pricing in your area.. . It’s also important to consider more than your monthly payments when choosing a plan. Even if you choose a plan with a lower premium, you may end up with a higher deductible, which could lead to you having to foot large medical bills before your insurance kicks in.. . Be sure to not only consider your budget but your past and present health needs. You may find you will save money with a plan that has a higher monthly premium and lower deductible if you’re someone who needs frequent hospital or doctor’s visits.. . If you are unsure what plan is best for your needs and your budget, one of eHealth’s licensed health insurance agents can help you make the right decision. You can check out our other resource center content on health insurance costs as well.. . When can I buy health insurance?. . Depending on the type of health insurance you are looking for and other relevant circumstances in your life, you may be able to buy health insurance at any point in the year, or you may have to wait until the Open Enrollment Period, which is the annual period when you can enroll in ACA major medical health insurance plans. Open enrollment periods may vary by state, so check out the full list of Open Enrollment Periods by state to see when you’ll be able to find an ACA plan.. . That being said, if you experienced a qualifying life event (loss of employer-sponsored health insurance, divorce, relocation to a new coverage area, etc.) you may be eligible for a Special Enrollment Period, which would allow you to sign up for an ACA plan outside of OEP.. . Additionally, Medicare has a separate Annual Election Period, and many other types of insurance plans, like short term health insurance plans, can be purchased year round. If you have specific questions on when you can sign up for specific health insurance plans, the eHealth team can help you figure out when you can purchase the right plan for you.. . Where to buy health insurance?. . There are a few places where you can buy health insurance. You can go through your state or the federal marketplace or through an insurer.. . You can also shop with eHealth, the first and largest independent online health insurance marketplace. Choose from over 10,000 plans from over 180 insurance companies. We’re unbiased and we’re here to help you find the right plan for you, your family, or your small business.. . Find ACA coverage or fill a coverage gap with a short-term insurance plan from our selection of over 3,600 plans from over 16 carriers.. . Once you’ve found the right plan, let eHealth be your health insurance advocate. Our customer support team is willing and able to answer any questions you may have about your plan’s coverage, billing, or any other tricky aspects of health insurance.. . We’re here for you around the clock! With our online chat function, email, and phone support we’re available 24/7.. . We’re committed to helping make health insurance affordable and easy. We’ve done it for over 5 million customers, let us help you too!. . Join Our Newsletter. . Get healthcare news, wellness tips, and coverage resources. . 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