HOM 5307 Exam 1 Set 1 |Questions and
Answers Distinction Graded
T or F: PPOs do not accept capitation risk and enrollees who are willing to
pay higher cost sharing may access providers that are not in the contracted
network. - -True
- T or F: Blue Cross began as a physician service bureau in the 1930s. - -
False
- T or F: The Balance Budget Act (BBA) of 1997 resulted in a major increase
in HMO enrollment. - -False
- T or F: Health care cost inflation has remained consistent since 1995. - -
False
- Prior to the 1970s, health maintenance organizations (HMOs) were known
as: - -Prepaid group practices
- The original impetus of HMOs development came from: - -Providers
seeking patient insurance & consumers seeking access to health care
- The integral components of managed care are - -wellness and prevention,
primary care orientation, and utilization management
- Managed care is best described as - -A broad and constantly changing
array of health plans employers, unions, and other purchasers of care that
attempt to manage cost, quality, and access to that care
- The Managed care backlash resulted in which of the following? - -A
reduction in HMO membership & new federal and state laws and regulations
- T or F: The HMO Act of 1973 did not retard HMO development in the few
years after its enactment - -False
- T or F: The HMO Act of 1973 did contributed to the growth of managed
care. - -True
- T or F: HMOs are licensed as health insurance companies. - -False
- T or F: An IPA is an HMO that contracts directly with physicians and
hospitals. - -False
Answers Distinction Graded
T or F: PPOs do not accept capitation risk and enrollees who are willing to
pay higher cost sharing may access providers that are not in the contracted
network. - -True
- T or F: Blue Cross began as a physician service bureau in the 1930s. - -
False
- T or F: The Balance Budget Act (BBA) of 1997 resulted in a major increase
in HMO enrollment. - -False
- T or F: Health care cost inflation has remained consistent since 1995. - -
False
- Prior to the 1970s, health maintenance organizations (HMOs) were known
as: - -Prepaid group practices
- The original impetus of HMOs development came from: - -Providers
seeking patient insurance & consumers seeking access to health care
- The integral components of managed care are - -wellness and prevention,
primary care orientation, and utilization management
- Managed care is best described as - -A broad and constantly changing
array of health plans employers, unions, and other purchasers of care that
attempt to manage cost, quality, and access to that care
- The Managed care backlash resulted in which of the following? - -A
reduction in HMO membership & new federal and state laws and regulations
- T or F: The HMO Act of 1973 did not retard HMO development in the few
years after its enactment - -False
- T or F: The HMO Act of 1973 did contributed to the growth of managed
care. - -True
- T or F: HMOs are licensed as health insurance companies. - -False
- T or F: An IPA is an HMO that contracts directly with physicians and
hospitals. - -False
