HSA 3111 Midterm Official Study Guide PDF

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HSA 3111 Midterm Official Study Guide...

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1. The ACA is an example of: a. Neither social justice nor market justice 2. What is the major objective of the Affordable Care Act? a. To provide insurance coverage 3. Reimbursement is associated with which of the quad functions? a. Payment 4. In the U.S. health care system, which of the following creates a separation between financing and delivery? a. Insurance 5. The U.S. healthcare system can best be described as: a. All of the above - Expensive, fragmented, and market-oriented 6. Which of the following supports the current trends in the U.S. health care system? a. Increasing the use of mid-level providers 7. For most privately insured Americans, health insurance is: a. Employer-based 8. The tax-advantaged treatment of employer-paid health insurance benefits leads: a. to the purchase of excessive health insurance coverage 9. During the World War II period, health insurance became employer-based because of: a. Wage freezes 10. The role of the government in the U.S. healthcare system is: a. All of the above - Regulator, major financer, & Medicare and Medicaid reimbursement rate-setter 11. What was the main reason for initiating national health care in countries such as Germany and England? a. To ward off political instability 12. Who was the first American president to make an appeal for national health insurance? a. Harry Truman 13. Which of the following countries has a National Health System? a. Great Britain 14. Which country spends the most in administrative health care costs? a. United States 15. National health care programs in other countries often use the following mechanism to control total health care expenditures? a. Global budgets 16. Which of the following factors is the leading cause of preventable disease and death in the U.S.? a. Smoking 17. Which of the following is the best intervention to prevent chronic disease? a. Lifestyle modification 18. Which of the following is not a behavioral risk factor? a. Unsafe neighborhoods 19. The ACA is an example of: a. Neither social justice nor market justice 20. Healthcare is considered a social good in a. Social justice

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The limitations of market justice include which of the following: a. All of these are correct – social problems are not adequately addressed, society is not always protected form the consequences of ill health, and it leads to inequitable access to health care 22. Holistic health adds which element to the World Health Organization definition of health? a. Spiritual 23. Hospitals in the US evolved from: a. Almshouses 24. What main purpose was served by an almshouse in the preindustrial period? a. It performed general welfare and custodial functions 25. In the preindustrial period, what was the main role of dispensaries? a. Dispensaries provided basic medical care to ambulatory patients 26. The Flexner Report, published in 1910, reported on: a. Standards of training in medical schools 27. When a profession's services are generally accepted and are legitimized, they impart _____ to the profession. a. Cultural authority 28. Cultural authority was conveyed to the medical profession mainly through: a. Advances in medical science 29. The Baylor Hospital plan, started in 1929, laid the foundation for the modern health insurance in the US. This a ______ plan. a. Prepaid 30. The tax-advantaged treatment of employer-paid health insurance benefits leads: a. to the purchase of excessive health insurance coverage 31. The private medical sector in the U.S. has been heavily regulated by the government mainly because: a. The government finances Medicare and Medicaid 32. Which of the following was the main issue that prevented a government-run national health care program from becoming a reality in the U.S.? a. Beliefs and values 33. On what grounds have middle-class Americans generally opposed proposals for a national health insurance program? a. Higher taxes 34. Medicare and Medicaid programs were created for population groups regarded as: a. Vulnerable 35. What does MCO stand for? a. Managed Care Organization 36. When patients have multiple health problems, this is called: a. Comorbidity 37. The number of specialists is increasing because a. All of the above - Specialists earn more than primary care physicians, the development of medical technology, and demand for specialists' services in high 38. Physician maldistribution occurs by: a. Both specialty and geography 39. Allied health professionals include:

a. Physician assistants 40.

The roles and responsibilities of health services administrators include: a. All of the above - Leadership and strategic direction, program oversight, and departmental management 41. Which of the following is the most common reason hospitals have been slow to adopt EHRs? a. Lack of capital 42. What is the main advantage of interoperability within an electronic health records (EHR) system? a. Information can be shared between physicians, pharmacists, and hospitals 43. The Health Insurance Portability and Accountability Act requires a. protection of personal health information. 44. Which of the following practices was made illegal by the Health Insurance Portability and Accountability Act of 2006? a. Excluding coverage for preexisting medical conditions for new enrollees if they had health insurance coverage in their previous job 45. The expectations that Americans have about what medical technology can do to cure illness is based on: a. Culture beliefs and values 46. What was the purpose of certificate of need (CON) laws? a. Control new construction and modernization projects 47. In national health care systems, total expenditures are controlled mainly through: a. supply-side rationing 48. Supply-side rationing is also referred to as: a. non-price rationing and planned rationing 49. Initially, what was the main purpose of private health insurance in the US? a. compensate for loss of income during sickness and temporary disability 50. What is the central role of health services financing in the U.S.? a. Fund health insurance 51. In a general sense, what is the primary purpose of insurance? a. Protection against risk 52. For hospitalizations, Medicare beneficiaries must pay a deductible: a. Once per benefit period 53. A health insurance plan pays for medical care only after the insured has first paid $500 out of pocket on an annual basis. The $500 annual cost is called: a. Deductible 54. A co-payment is generally paid: a. each time the insured receives health care services 55. A typical health insurance plan pays only for: a. services considered medically necessary 56. The majority of beneficiaries receiving health care through Medicare are: a. Elderly 57. To finance Medicare Part A, a. all income earned by a working person is subject to Medicare tax 58. Skilled nursing care is covered under _____ of Medicare. a. Part A

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Medicare Part B premiums are: a. Income-based

Part C of Medicare specifically covers: a. None of the above – not rehabilitation services, preventive care, or prescription drugs 61. Why was Medicare Part C created? a. To channel beneficiaries into managed care programs 62. The primary criterion to become eligible for Medicaid is: a. Financial status 63. Medicaid is primarily for people who meet which of the following eligibility requirements? a. Low income 64. Under the ACA, for people with pre-existing conditions: a. Individuals with pre-existing health problems will be able to access insurance. Children with pre-existing conditions cannot be denied coverage by insurance companies. Adults with preexisting conditions can enroll in the pre-existing condition insurance plan (PCIP) 65. When a fixed monthly fee per enrollee is paid to a provider, it is called: a. Capitation 66. Capitation removes the incentive to: a. Provide unnecessary services 67. Which country’s health care system is founded on the principles of gatekeeping? a. United Kingdom 68. What is gatekeeping? a. The process by which primary care physicians refer patients to specialists. 69. Hospice services are primarily for people with: a. Terminal illnesses 70. The most prominent reason for the decline in the number of procedures performed in hospitals is: a. Most of these procedures were shifted to outpatient setting 71. Which of the following is a reason for the growth in outpatient services? a. All of the above 72. What is palliation? a. Pain and symptom management 73. One reason women’s health centers were created is: a. Women seek care more often than men 74. Community health centers serve primarily: a. populations that are medically underserved 75. How is community-oriented primary care (COPC) different from primary care? a. COPC adds a population-based approach to identifying and addressing community health problems...