5-1 Chapter 6 Quiz- Financing the Healthcare System PDF

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5-1 Chapter 6 Quiz- Financing the Healthcare System...

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5-1 Chapter 6 Quiz: Financing the Healthcare System 1. A fixed prepayment per person to the healthcare provider for an agreed upon array of services is which of the following? A: Capitation 2. Medicare Insurance pays hospitals for their patients’ inpatient stays per-discharge based on the Diagnosis Related Group (DRG) assigned to that discharge. A: True 3. Most of the top 10 medical conditions by total expenditures in 2015 were chronic disease, trauma-related disorders and infectious diseases. A: True 4. Value based purchasing (VBP), is the payment model where the health care delivery system focus has shifted to reward value for the care delivered. The ACA brought the VBP model into the demonstration phase, and since, there have been no problems implementing payment base on value outcomes. A: False 5. Which category accounted for the greatest percentage of the nation health expenditure in 2013? A: Hospital Care 6. What government program provides health coverage primarily for older adults and those with disabilities? A: Medicare 7. What government program was created by the Balanced Budget Act of 1997 to provide health coverage for uninsured children who are not eligible for Medicaid? A: The State Children’s Health Insurance Program (SCHIP) 8. What percentage of the U.S. gross domestic product (GDP) was total healthcare spending in 2017? A: 17.9% 9. What term describes a situation in which an individuals’ behavior changes when he or she is able to shift the risks of decisions to others? A: Moral hazard 10. Even with the ACA in place, in 2017 the number of uninsured people increased. Lack of health insurance has many negative consequences, such as: A: All of the Above 11. Which health insurance is provided after a means test on personal income is performed? A: Medicaid

12. Which of the following events occurred in the 1960s and significantly increased government spending on healthcare in the US ? A: The enactment of Medicare and Medicaid 13. Which of the following is a major cause for the dramatic increase in healthcare costs in the US since 1980? A: Certain technological advances in diagnosis and treatment that are more costly than previously existing methods 14. Which of the following is the flat amount that a health insurance beneficiary must pay out-ofpocket before the insurance company begins paying for any health services? A: Deductible 15. Which of the following is the oldest form of payment for health services and the predominant form of paying dentists? A: Fee-for-service (FFS)...