US healthcare Final comprehensive Questions and
Answers with 100% Correct Answers | Latest Version
Question 1.
How many people work in the healthcare system?
Correct Answer: 16.4 million people (11.4% of US workforce)
Question 2.
How many occupations are there?
Correct Answer: 200 occupations and more than 16 million workers in the healthcare
field
Question 3.
Three types of government regulatory procedures
Correct Answer: state licensure state/national certification state/national registration
Question 4.
licensure
Correct Answer: state law defines the scope of practice to be regulated &
educational/testing requirments that must be met to engage in that practice (most
restrictive of the 3)- intended to restrict entry or practice in certain occupations and to
prevent use of professional titles by those without qualifications
Question 5.
certification
Correct Answer: state or voluntary professional organization such as a national board
attest to educational achievements and performance abilities of persons in a health
care field of practice (less restrictive regulation and means individual has obtained
advanced/specialized training in that area of practice.
Question 6.
registration
Correct Answer: no provisions for regulating impaired or misbehaving practioners
other than putting them on probation or dropping them from certification
,Question 7.
factors that influence the demand for personnel
Correct Answer: changing nature of disease/disability/treatment: with each growing
number of patients with disease/disorder it increases the demand for workers who
supply the care physician supply: physicians mandate use of resources and the
changes in physicians have an impact on what resources are used technology:
medical and nonmedical tech important for number and skill requirements of
healthcare workers expansion of home care: new reforms leading to shift in health
service industry being provided in home because it is seen as faster recovery for
patients and reducing hospital readmissions corporatization of health care: increases
in group practices, development of several forms of provider orgs and increasing
employment of physicians has lead to vertically integrated links of hospitals
Question 8.
provisions of the ACA that reflect workforce issues
Correct Answer: increasing workforce supply by enhancing federal student loans for
health providers enhancing workforce education and training via cultural competency
through use of grants supporting existing healthcare workforce through increased
funding for minority applicants to health prof primary care extenstion program to
educate providers about EBM strengthening primary care through redistribution of
unfilled resisdency programs improving access to health care services through
increased funding for federally qualified health centers,state, medical schools
Question 9.
top 3 expenses of health care (2011)
Correct Answer: 1.hospital care 2.physician service 3.prescription drugs
Question 10.
top 3 sources of payment
Correct Answer: 1.medicare 2mediaid (highest) 3.private insurers
Question 11.
what causes care in the US to be more expensive?
Correct Answer: Us higher per capita income and price for medical care has
accounted for spending differences yet not yielding a superior health care/outcome
Question 12.
_ to _ % indicated as a "waste" in US health spending
Correct Answer: 30-40%
, Question 13.
Why was Health Care Fraud Pre- vention and Enforcement Action Team created?
Correct Answer: in attempts to address fraud and abuse that has been draining
critical and substantial resources from the health care delivery system, it was created
by US attorney general and DHHS secretary
Question 14.
Major drivers of healthcare expenditures
Correct Answer: advancing medical and diagnostic technology growth in population
of older adults emphasis on speciality medicine uninsured and under-insured labor
intensity reimbursement system incentives
Question 15.
Managed Care
Correct Answer: is a health care delivery system organized to manage cost,
utilization, and quality. *managed care uses the concept of prepayment in which
providers are paid a preset amount in advance for all services their insured
population is projected to need in a given period*
Question 16.
Health Maintence Organization Act of 1973
Correct Answer: grew over concerns in quality of care so enactment of Health
Maintence Organization Act of 1973 became the standard. This act provided loans and
grants for planning development, implementation of combined insurance and health
care delivery org///////////In this model, the MCO guarantee providers a certain volume
in return for negotiated discounts, pays out on a FFS basis, providers are not
required to share financial risks, and will pay for out-of-network services. They are
currently the most popular plans.//////
Question 17.
two types of HMO: Staff model and IPA
Correct Answer: Staff model ("closed group"): employed groups of physicians to
provide most health care needs of its members with some speciailty services with
onsite services like labs and pharmacy purchased hospital care and other services
for its members through fee for service/pre-paid contracts IPA:individual practice
association - physician organizations composed of community-based independent
physicians in solo or group practices that provide services to HMO members.
Provided members service through private physician office practices[does not
employ, but works through private physician offices allows physicians to serve
members and non-members] purchased hospital care and speciality services not albv
through IPA from other area providers on a prepaid or fee for service basis.
(somewhat closed but not as closed as staff model)
Answers with 100% Correct Answers | Latest Version
Question 1.
How many people work in the healthcare system?
Correct Answer: 16.4 million people (11.4% of US workforce)
Question 2.
How many occupations are there?
Correct Answer: 200 occupations and more than 16 million workers in the healthcare
field
Question 3.
Three types of government regulatory procedures
Correct Answer: state licensure state/national certification state/national registration
Question 4.
licensure
Correct Answer: state law defines the scope of practice to be regulated &
educational/testing requirments that must be met to engage in that practice (most
restrictive of the 3)- intended to restrict entry or practice in certain occupations and to
prevent use of professional titles by those without qualifications
Question 5.
certification
Correct Answer: state or voluntary professional organization such as a national board
attest to educational achievements and performance abilities of persons in a health
care field of practice (less restrictive regulation and means individual has obtained
advanced/specialized training in that area of practice.
Question 6.
registration
Correct Answer: no provisions for regulating impaired or misbehaving practioners
other than putting them on probation or dropping them from certification
,Question 7.
factors that influence the demand for personnel
Correct Answer: changing nature of disease/disability/treatment: with each growing
number of patients with disease/disorder it increases the demand for workers who
supply the care physician supply: physicians mandate use of resources and the
changes in physicians have an impact on what resources are used technology:
medical and nonmedical tech important for number and skill requirements of
healthcare workers expansion of home care: new reforms leading to shift in health
service industry being provided in home because it is seen as faster recovery for
patients and reducing hospital readmissions corporatization of health care: increases
in group practices, development of several forms of provider orgs and increasing
employment of physicians has lead to vertically integrated links of hospitals
Question 8.
provisions of the ACA that reflect workforce issues
Correct Answer: increasing workforce supply by enhancing federal student loans for
health providers enhancing workforce education and training via cultural competency
through use of grants supporting existing healthcare workforce through increased
funding for minority applicants to health prof primary care extenstion program to
educate providers about EBM strengthening primary care through redistribution of
unfilled resisdency programs improving access to health care services through
increased funding for federally qualified health centers,state, medical schools
Question 9.
top 3 expenses of health care (2011)
Correct Answer: 1.hospital care 2.physician service 3.prescription drugs
Question 10.
top 3 sources of payment
Correct Answer: 1.medicare 2mediaid (highest) 3.private insurers
Question 11.
what causes care in the US to be more expensive?
Correct Answer: Us higher per capita income and price for medical care has
accounted for spending differences yet not yielding a superior health care/outcome
Question 12.
_ to _ % indicated as a "waste" in US health spending
Correct Answer: 30-40%
, Question 13.
Why was Health Care Fraud Pre- vention and Enforcement Action Team created?
Correct Answer: in attempts to address fraud and abuse that has been draining
critical and substantial resources from the health care delivery system, it was created
by US attorney general and DHHS secretary
Question 14.
Major drivers of healthcare expenditures
Correct Answer: advancing medical and diagnostic technology growth in population
of older adults emphasis on speciality medicine uninsured and under-insured labor
intensity reimbursement system incentives
Question 15.
Managed Care
Correct Answer: is a health care delivery system organized to manage cost,
utilization, and quality. *managed care uses the concept of prepayment in which
providers are paid a preset amount in advance for all services their insured
population is projected to need in a given period*
Question 16.
Health Maintence Organization Act of 1973
Correct Answer: grew over concerns in quality of care so enactment of Health
Maintence Organization Act of 1973 became the standard. This act provided loans and
grants for planning development, implementation of combined insurance and health
care delivery org///////////In this model, the MCO guarantee providers a certain volume
in return for negotiated discounts, pays out on a FFS basis, providers are not
required to share financial risks, and will pay for out-of-network services. They are
currently the most popular plans.//////
Question 17.
two types of HMO: Staff model and IPA
Correct Answer: Staff model ("closed group"): employed groups of physicians to
provide most health care needs of its members with some speciailty services with
onsite services like labs and pharmacy purchased hospital care and other services
for its members through fee for service/pre-paid contracts IPA:individual practice
association - physician organizations composed of community-based independent
physicians in solo or group practices that provide services to HMO members.
Provided members service through private physician office practices[does not
employ, but works through private physician offices allows physicians to serve
members and non-members] purchased hospital care and speciality services not albv
through IPA from other area providers on a prepaid or fee for service basis.
(somewhat closed but not as closed as staff model)
