HSA 3111 Final Exam UPDATED Exam
Questions and CORRECT Answers
In the past, patient behaviors within the health care delivery system were formed from the
authoritarian positions of better-educated providers who expected patients to be compliant and
grateful. Today, health care providers and consumers - CORRECT ANSWER encourage
more proactive roles for patients' participation in health care decisions with "shared decision-
making"
The U.S. healthcare delivery system has numerous stakeholders. In terms of financial power,
control of delivery system parameters for the majority of Americans, and influence on consumers
and providers of health care, which of the following pairs of stakeholders is the most influential -
CORRECT ANSWER Government and private health insurers
Of the levels of prevention associated with the natural history of disease, primary prevention
refers to: - CORRECT ANSWER health education and specific protection
In the natural history of a disease, the pre-pathogenesis period refers to - CORRECT
ANSWER Behavioral, genetic, environmental and other factors that may contribute to an
individual's likelihood of contracting a disease
Americans spend $9 billion + each year on alternative and complementary therapies. This trend
has caused - CORRECT ANSWER many private insurers and Medicare and Medicaid to
provide benefit coverage for certain treatments
The service priorities of the U.S. health care system reflect America's fascination with dramatic
high-tech medicine. As a result - CORRECT ANSWER - little of the health care dollar is
spent on prevention
- the US system is the most expensive in the world
- the US has the world's most advanced medical capability
,U.S. annual health care expenditures far outstrip those of 7 other developed nations. In
relationship with expenditures, U.S. health population status ranking on critical indicators in
comparison with those other developed nations is - CORRECT ANSWER Dismally lower
Potential conflicts of interest occur when physicians own or invest in businesses (e.g. diagnostic,
medical supply companies) to which they can refer patients to generate profits. In response to
these physician conflict of interest issues - CORRECT ANSWER The ACA includes
"Sunshine provisions" require reporting of all financial transactions and transfers of value
between pharmaceutical/biologic product manufacturers and physicians, hospitals and other
entities reimbursed by the federal government
Long term care needs of older, chronically ill Americans pose a particular delivery system
challenge because - CORRECT ANSWER Neither Medicare nor private insurance support
ongoing, non-acute services
The major health care advances of the second half of the 20th century were in the area of -
CORRECT ANSWER vaccines and antibiotics to prevent and control infectious diseases,
tranquilizers, the birth control pill
Blue Cross Hospital Insurance, the predominant form of health insurance for decades, was
modeled after - CORRECT ANSWER Baylor University Hospital's school teachers plan
The Medicaid program has a history of very low reimbursement as compared with Medicare
reimbursement; critics site low Medicaid reimbursement as a major reason that primary care
doctors have rejected serving the Medicaid population. An ACA provision addresses this issue
by - CORRECT ANSWER Reimbursing states for primary care physician fees for
Medicaid patients at no less than100% of Medicare payment rates
The explosion of science and technology in the 1970s resulted in which of the following? -
CORRECT ANSWER - Encouragement for physicians' specialization
- Higher costs of health care
- Medical school efforts to attract more students to primary care
, As early as the 19th century some Americans carried "health insurance" through employers,
fraternal orders, guilds, trade associations, unions or commercial insurance companies. However
unlike health insurance of today, these insurance policies only provided for - CORRECT
ANSWER Fixed payments to compensate for lost wages due to injury, sickness or
disability
The Oregon Death with Dignity Act was a response to which of the following - CORRECT
ANSWER public and professional concerns about painful and demeaning terminal medical
care
The American Medical Association's initial reaction to Blue Cross hospital insurance plans
suggested that the plans: - CORRECT ANSWER Were unsound and unethical
A central provision of the ACA to assure health care coverage for most Americans is -
CORRECT ANSWER the individual mandate
The most significant social legislation passed by any Congress in the history of the United States
was the - CORRECT ANSWER Social Security Act of 1935
To receive incentive payments for demonstrating "meaningful use," providers must meet criteria
in three stages of EHR implementation. In what stage must providers meet objectives for
"capturing patient data and sharing data in a standardized format with patients and other health
care professionals? - CORRECT ANSWER Stage 1
Two primary issues that concerned many regarding the ACA - CORRECT
ANSWER individual mandate & Medicaid expansion
HIPAA implementation introduced several new provisions beneficial to individuals. Other than
the privacy provision concerning patient data, which other was an important provision -
CORRECT ANSWER Elimination of preexisting periods for individuals moving from job-
to-job
Questions and CORRECT Answers
In the past, patient behaviors within the health care delivery system were formed from the
authoritarian positions of better-educated providers who expected patients to be compliant and
grateful. Today, health care providers and consumers - CORRECT ANSWER encourage
more proactive roles for patients' participation in health care decisions with "shared decision-
making"
The U.S. healthcare delivery system has numerous stakeholders. In terms of financial power,
control of delivery system parameters for the majority of Americans, and influence on consumers
and providers of health care, which of the following pairs of stakeholders is the most influential -
CORRECT ANSWER Government and private health insurers
Of the levels of prevention associated with the natural history of disease, primary prevention
refers to: - CORRECT ANSWER health education and specific protection
In the natural history of a disease, the pre-pathogenesis period refers to - CORRECT
ANSWER Behavioral, genetic, environmental and other factors that may contribute to an
individual's likelihood of contracting a disease
Americans spend $9 billion + each year on alternative and complementary therapies. This trend
has caused - CORRECT ANSWER many private insurers and Medicare and Medicaid to
provide benefit coverage for certain treatments
The service priorities of the U.S. health care system reflect America's fascination with dramatic
high-tech medicine. As a result - CORRECT ANSWER - little of the health care dollar is
spent on prevention
- the US system is the most expensive in the world
- the US has the world's most advanced medical capability
,U.S. annual health care expenditures far outstrip those of 7 other developed nations. In
relationship with expenditures, U.S. health population status ranking on critical indicators in
comparison with those other developed nations is - CORRECT ANSWER Dismally lower
Potential conflicts of interest occur when physicians own or invest in businesses (e.g. diagnostic,
medical supply companies) to which they can refer patients to generate profits. In response to
these physician conflict of interest issues - CORRECT ANSWER The ACA includes
"Sunshine provisions" require reporting of all financial transactions and transfers of value
between pharmaceutical/biologic product manufacturers and physicians, hospitals and other
entities reimbursed by the federal government
Long term care needs of older, chronically ill Americans pose a particular delivery system
challenge because - CORRECT ANSWER Neither Medicare nor private insurance support
ongoing, non-acute services
The major health care advances of the second half of the 20th century were in the area of -
CORRECT ANSWER vaccines and antibiotics to prevent and control infectious diseases,
tranquilizers, the birth control pill
Blue Cross Hospital Insurance, the predominant form of health insurance for decades, was
modeled after - CORRECT ANSWER Baylor University Hospital's school teachers plan
The Medicaid program has a history of very low reimbursement as compared with Medicare
reimbursement; critics site low Medicaid reimbursement as a major reason that primary care
doctors have rejected serving the Medicaid population. An ACA provision addresses this issue
by - CORRECT ANSWER Reimbursing states for primary care physician fees for
Medicaid patients at no less than100% of Medicare payment rates
The explosion of science and technology in the 1970s resulted in which of the following? -
CORRECT ANSWER - Encouragement for physicians' specialization
- Higher costs of health care
- Medical school efforts to attract more students to primary care
, As early as the 19th century some Americans carried "health insurance" through employers,
fraternal orders, guilds, trade associations, unions or commercial insurance companies. However
unlike health insurance of today, these insurance policies only provided for - CORRECT
ANSWER Fixed payments to compensate for lost wages due to injury, sickness or
disability
The Oregon Death with Dignity Act was a response to which of the following - CORRECT
ANSWER public and professional concerns about painful and demeaning terminal medical
care
The American Medical Association's initial reaction to Blue Cross hospital insurance plans
suggested that the plans: - CORRECT ANSWER Were unsound and unethical
A central provision of the ACA to assure health care coverage for most Americans is -
CORRECT ANSWER the individual mandate
The most significant social legislation passed by any Congress in the history of the United States
was the - CORRECT ANSWER Social Security Act of 1935
To receive incentive payments for demonstrating "meaningful use," providers must meet criteria
in three stages of EHR implementation. In what stage must providers meet objectives for
"capturing patient data and sharing data in a standardized format with patients and other health
care professionals? - CORRECT ANSWER Stage 1
Two primary issues that concerned many regarding the ACA - CORRECT
ANSWER individual mandate & Medicaid expansion
HIPAA implementation introduced several new provisions beneficial to individuals. Other than
the privacy provision concerning patient data, which other was an important provision -
CORRECT ANSWER Elimination of preexisting periods for individuals moving from job-
to-job
