HMGT 3301 EXAM #1 COMPLETE
QUESTIONS WITH 100% CORRECT
ANSWERS
What are the 6 main issues with a multi-payer system?
(1) difficult for providers to track various health plans
(2) providers have to hire claim processors
(3) payments can be denied which forces rebilling
(4) balance billing may occur
(5) providers must engage in collection efforts
(6) government programs have complex regulation
What 4 things make the U.S. HCS unique?
(1) no automatic coverage
(2) no true "system"
(3) fragmented system
(4) continues to undergo periodic change
The HC workforce employs over _____ million people.
,16.4
What are the 5 characteristics of the U.S. system?
(1) multiplicity of financial arraignments
(2) numerous insurance agencies/MCOs that employ various mechanisms for
insuring against risk
(3) multiple payers that make their own determinations about cost for each
service
(4) diverse settings of delivery
(5) numerous consulting firms offering expertise in planning, cost containment,
electronic systems, quality, restructuring resources
What are the 3 missing dimensions of the U.S. HC system?
(1) planning
(2) direction
(3) coordination from a central agency
What are the 5 inefficiencies in the U.S. HC system?
(1) duplication
(2) overlap
(3) inadequacy
(4) inconsistency
(5) waste
, What are the 2 primary objectives?
(1) access to HCS
(2) cost effective w/ quality standards
The U.S. leads the world in what 4 things?
(1) technology
(2) training
(3) research
(4) sophisticated institutions/products/processes
The Quad-Function Model is made up of what 4 things?
(1) financing
(2) insurance
(3) payment
(4) delivery
Employer-based health insurance
private
Premium Cost Sharing w/ groups
Privately purchased health insurance
private
Government programs
QUESTIONS WITH 100% CORRECT
ANSWERS
What are the 6 main issues with a multi-payer system?
(1) difficult for providers to track various health plans
(2) providers have to hire claim processors
(3) payments can be denied which forces rebilling
(4) balance billing may occur
(5) providers must engage in collection efforts
(6) government programs have complex regulation
What 4 things make the U.S. HCS unique?
(1) no automatic coverage
(2) no true "system"
(3) fragmented system
(4) continues to undergo periodic change
The HC workforce employs over _____ million people.
,16.4
What are the 5 characteristics of the U.S. system?
(1) multiplicity of financial arraignments
(2) numerous insurance agencies/MCOs that employ various mechanisms for
insuring against risk
(3) multiple payers that make their own determinations about cost for each
service
(4) diverse settings of delivery
(5) numerous consulting firms offering expertise in planning, cost containment,
electronic systems, quality, restructuring resources
What are the 3 missing dimensions of the U.S. HC system?
(1) planning
(2) direction
(3) coordination from a central agency
What are the 5 inefficiencies in the U.S. HC system?
(1) duplication
(2) overlap
(3) inadequacy
(4) inconsistency
(5) waste
, What are the 2 primary objectives?
(1) access to HCS
(2) cost effective w/ quality standards
The U.S. leads the world in what 4 things?
(1) technology
(2) training
(3) research
(4) sophisticated institutions/products/processes
The Quad-Function Model is made up of what 4 things?
(1) financing
(2) insurance
(3) payment
(4) delivery
Employer-based health insurance
private
Premium Cost Sharing w/ groups
Privately purchased health insurance
private
Government programs
