hcm midterm Exam Actual Exam Questions And Complete Answers.

The primary objectives of a healthcare system include all of the following except: - correct answer Delivering healthcare services using the most current technology, regardless of cost The U.S. healthcare system can best be described as: - correct answer Expensive, Fragmented and Market-Oriented For most privately insured Americans, health insurance is: - correct answer Employer-based Approximately how many millions of people are employed in the U.S. healthcare system? - correct answer 15 Medicare is primarily for people who meet the following eligibility requirement: - correct answer Elderly Medicaid is primarily for people who meet the following eligibility requirement: - correct answer Low-Income The primary functions of managed care include all of the following except: - correct answer Improving quality Under free market conditions, the relationship between the quantity of medical services demanded and the price of medical services is: - correct answer Inverse The role of the government in the U.S. healthcare system is: - correct answer Regulator, major finance, and Medicare and Medicaid reimbursement Which of the following countries has a National Health System (NHS)? - correct answer Great Britain Which of the following is a characteristic of a national health insurance system? - correct answer The government finances health care through general taxes; health care is delivered by private providers Which of the following is a characteristic of a socialized health insurance system? - correct answer Health care is financed through government-mandated contributions by employers and employees In 1984, Australia switched: - correct answer From a privately financed system to the Medicare program A free market in healthcare requires: - correct answer Adequate information for patients, independent actions between buyers (patients) and sellers (providers), unencumbered interaction of the forces of supply and demand A multiple payer system is more cumbersome than a single payer system for all of the following reasons except: - correct answer Some healthcare services are covered for people in the north, but not in the south Which of the following entities in the U.S. employs lobbyists? - correct answer Physicians; public; combination of private and public The ownership of Canada's health care system is best described as: - correct answer Combination of private and public Supplier-induced demand is created by - correct answer Providers Which country spends the most in administrative health care costs? - correct answer United States Developing countries account for how much of the world-wide burden of disease? - correct answer 90% What is the meaning of the term 'Access?' - correct answer Ability to get health care when needed In a free market who would pay for the delivery of health care services? - correct answer Patients What is meant by the term 'continuum of health care services?' - correct answer A range of health care services that go beyond what hospitals and physicians provide In the U.S. health care system, which of the following creates a separation between financing and delivery? - correct answer Insurance When providers deliver unnecessary services with the objective of protecting themselves against lawsuits, this practice is called - correct answer Defensive medicine 24. Reimbursement is associated with which of the quad functions? - correct answer payment Which central agency manages the health care delivery system in the United States? - correct answer none National health care programs in other countries often use the following mechanism to control total health care expenditures? - correct answer Global budgets In the United States, who does not generally have access to basic and routine medical services? - correct answer The uninsured In which country are employers required by law to contribute toward health insurance for their employees? - correct answer Germany The government health coverage program for the elderly and certain people with disabilities is called Medicaid. - correct answer False Capitation is a payment mechanism in which all health care services are included under one set fee per covered individual. - correct answer True The U.S. has a mainly public system of financing health care services. - correct answer False In a free market, multiple patients and providers act interdependently. - correct answer false Moral hazard has to do with insured patients' demand for health care services. - correct answer true In a single-payer system, the primary payer usually is an insurance company. - correct answer false In national health care programs, governments are immune from lawsuits. - correct answer true Since the final two decades of the 20th century, the U.S. health care delivery system has begun to shift its emphasis from wellness to illness. - correct answer false The U.S. health care system is administratively controlled by an agency of the government. - correct answer false Quality is no longer accepted as an unachievable goal in the delivery of health care in the U.S. - correct answer true What does the Consumer Price Index (CPI) measure? - correct answer General Inflation What is Gross Domestic Product (GDP)? - correct answer A measure of all the goods and services produced by a nation in a given year Approximately what percentage of GDP is spent on health care? - correct answer 17% What is a PRO? - correct answer Peer Review Organization What is meant by the term "health care costs"? - correct answer the price of health care; how much a nation spends on health care; cost of producing health care Why should rising health care costs be controlled? - correct answer americans have to forgo other goods and services when more is spent on health care; unless we control costs, total health care expenditures will far exceed what they would be under free-market conditions Medical cost inflation is influenced by all of the following factors except: - correct answer Decrease in uninsured Which age group in the U.S. has had the highest average annual percent growth over the past 30 years? - correct answer Over 85 What are administrative costs? - correct answer Costs associated with management of the financing, insurance, delivery, and payment functions of health care What are small area variations? - correct answer Geographic variations in health care practice What is the main reason for the lack of success of health care cost control efforts in the U.S.? - correct answer Cost shifting by providers What is the primary purpose of certificate-of-need statutes? - correct answer To control capital expenditures by health facilities Fill in the blank: The distinction between predisposing and enabling conditions can be applied to assess the _______ of a health care system. - correct answer equity According to Anderson and Aday, which of the following is an element of "realized access"? - correct answer Type, site, and purpose of health services The Donabedian Model includes all of the following elements except: - correct answer costs What is the purpose of clinical practice guidelines? - correct answer to provide a plan to manage a clinical problem based on evidence or consensus; to lower cost; to improve outcomes What is the Health Plan Employer Data and Information Set (HEDIS)? - correct answer A quality report card