U.S. Health Care Systems Questions with Correct Solutions| Latest Update Graded A+
What is Medicare B primarily financed through? Taxes and premiums.
Which of the following requires payroll taxes to be paid equally by employers and employees?
Medicare Part A
Which of the following does not include any specific medical benefits mandated under
Medicare? Part C
What is the Medicaid program financed by? State and federal government.
CHIP is available to families with incomes up to: 200% of the federal poverty level
What type of physician reimbursement is based on individually distinct services that are
separately billed? Fee for service
Which of the following is based on the time, skill, and intensity it takes to provide a service?
Resource-based relative value scale
With which of the following is PMPM associated? Capitation
As a method of reimbursement, PPOs use: Discounted fee-for-service
In which of the following is the amount of reimbursement established in advance?
Prospective reimbursement
In order to make a profit under the DRG method of reimbursement a hospital must do which of
the following? Control its costs.
,DRG codes are an extension of which Medicare reimbursement payment system? PPS
Which of the following is used to compare health care expenditures to total economic
consumption? Gross domestic product
True or false? Enrollment in Part D of Medicare is based on a person's income. false
True or false? Each state administers its own Medicaid program. true
True or false? Risk is predictable for providers. false
Which class of devices requires premarket approval from the FDA? Class III
Capitalism and lack of government intervention play a major role in the desire to have the
state-of-the-art technology. What three qualities are necessary to determine effectiveness of
technology regarding patient care? Does it work; is it valuable; is it safe.
The Food and Drug Administration (FDA) is responsible for: The approval before a new drug
can be marketed.
What is required under the Safe Medical Devices Act of 1990? Health care providers are
required to report all injuries and deaths attributed to the use of medical devices.
Which two federal agencies support research associated with medical technology? National
Institutes of Health; Agency for Healthcare Research and Quality
Quality of life is measured by: The patient's overall satisfaction with life.
,Efficacy and safety of medical technology are evaluated through: Clinical trials.
What is the term for the benefits derived from a health care service or product? Efficacy
What is the primary benchmark for safety? Benefits must outweigh any negative
consequences.
Value in health care is enhanced by what? Increasing quality, reducing cost, or doing both.
When the benefits of a technology exceed the cost, it is referred to as what? Cost effective
Standardized practice protocols are what? They are guidelines to assist practitioners in
delivering appropriate health care for specific clinical issues.
Which of the following has not taken central stage in U.S. health care delivery?
Incorporation of cost-effectiveness into clinical practice.
True or false? If R&D was slowed by a modest amount in the U.S., it would have serious health
consequences globally. true
True or false? Cost-effectiveness is the basic starting point in health technology assessment.
false
A health services administrator's job is to: Organize the operational, clinical, and financial
outcomes of the entire healthcare system.
Which of the following applies to the Allied Health Professional? Is a need created by the
growth of technology and specialization in medicine, receives specialized training, and can
, receive a certificate, associates, bachelors, or master's degree in a science related health care
course.
The main difference between MD and DO is which of the following? MDs rely on drugs and
DOs rely on corrections of joints.
There are more specialists than generalists in the US because of which of the following
reasons? Specialists earn higher income.
True or false? To become an advanced practice nurse, one needs to have education and clinical
experience more than a RN. TRUE
During the Preindustrial era, medical practice was extremely competitive. What caused this
intense competition? Anyone, untrained or trained, could be a physician.
Almshouses served as: Houses for inmates, elderly, the homeless, orphans, the ill and
disabled.
The American Medical Association (AMA) played a dominant role in: Stimulating the
profession and protecting the interests of physicians.
What was one of the main reasons for the failure of national health insurance proposed by
President Clinton in 1993? Americans were unwilling to pay higher taxes for such a program.
Which of the following programs is means tested? Medicaid
In 1964, health insurance for the aged and the poor became a top priority for President
Johnson's administration. In 1965 Medicare was created as A two-part program for the
elderly that provides health insurance regardless of their income.
What is Medicare B primarily financed through? Taxes and premiums.
Which of the following requires payroll taxes to be paid equally by employers and employees?
Medicare Part A
Which of the following does not include any specific medical benefits mandated under
Medicare? Part C
What is the Medicaid program financed by? State and federal government.
CHIP is available to families with incomes up to: 200% of the federal poverty level
What type of physician reimbursement is based on individually distinct services that are
separately billed? Fee for service
Which of the following is based on the time, skill, and intensity it takes to provide a service?
Resource-based relative value scale
With which of the following is PMPM associated? Capitation
As a method of reimbursement, PPOs use: Discounted fee-for-service
In which of the following is the amount of reimbursement established in advance?
Prospective reimbursement
In order to make a profit under the DRG method of reimbursement a hospital must do which of
the following? Control its costs.
,DRG codes are an extension of which Medicare reimbursement payment system? PPS
Which of the following is used to compare health care expenditures to total economic
consumption? Gross domestic product
True or false? Enrollment in Part D of Medicare is based on a person's income. false
True or false? Each state administers its own Medicaid program. true
True or false? Risk is predictable for providers. false
Which class of devices requires premarket approval from the FDA? Class III
Capitalism and lack of government intervention play a major role in the desire to have the
state-of-the-art technology. What three qualities are necessary to determine effectiveness of
technology regarding patient care? Does it work; is it valuable; is it safe.
The Food and Drug Administration (FDA) is responsible for: The approval before a new drug
can be marketed.
What is required under the Safe Medical Devices Act of 1990? Health care providers are
required to report all injuries and deaths attributed to the use of medical devices.
Which two federal agencies support research associated with medical technology? National
Institutes of Health; Agency for Healthcare Research and Quality
Quality of life is measured by: The patient's overall satisfaction with life.
,Efficacy and safety of medical technology are evaluated through: Clinical trials.
What is the term for the benefits derived from a health care service or product? Efficacy
What is the primary benchmark for safety? Benefits must outweigh any negative
consequences.
Value in health care is enhanced by what? Increasing quality, reducing cost, or doing both.
When the benefits of a technology exceed the cost, it is referred to as what? Cost effective
Standardized practice protocols are what? They are guidelines to assist practitioners in
delivering appropriate health care for specific clinical issues.
Which of the following has not taken central stage in U.S. health care delivery?
Incorporation of cost-effectiveness into clinical practice.
True or false? If R&D was slowed by a modest amount in the U.S., it would have serious health
consequences globally. true
True or false? Cost-effectiveness is the basic starting point in health technology assessment.
false
A health services administrator's job is to: Organize the operational, clinical, and financial
outcomes of the entire healthcare system.
Which of the following applies to the Allied Health Professional? Is a need created by the
growth of technology and specialization in medicine, receives specialized training, and can
, receive a certificate, associates, bachelors, or master's degree in a science related health care
course.
The main difference between MD and DO is which of the following? MDs rely on drugs and
DOs rely on corrections of joints.
There are more specialists than generalists in the US because of which of the following
reasons? Specialists earn higher income.
True or false? To become an advanced practice nurse, one needs to have education and clinical
experience more than a RN. TRUE
During the Preindustrial era, medical practice was extremely competitive. What caused this
intense competition? Anyone, untrained or trained, could be a physician.
Almshouses served as: Houses for inmates, elderly, the homeless, orphans, the ill and
disabled.
The American Medical Association (AMA) played a dominant role in: Stimulating the
profession and protecting the interests of physicians.
What was one of the main reasons for the failure of national health insurance proposed by
President Clinton in 1993? Americans were unwilling to pay higher taxes for such a program.
Which of the following programs is means tested? Medicaid
In 1964, health insurance for the aged and the poor became a top priority for President
Johnson's administration. In 1965 Medicare was created as A two-part program for the
elderly that provides health insurance regardless of their income.
