What is the primary mechanism that enables people to obtain health care services?
- ANSWERHealth insurance
In this chapter the phenomenon called 'moral hazard' results directly from -
ANSWERhealth insurance coverage
In a general sense, what is the primary purpose of insurance? - ANSWERProtection
against risk
The domains of primary care include all of the following except: - ANSWERSpecialty
Care
A hospital has at least ____ beds and delivers both ___ and therapeutic services for
medical conditions. - ANSWER6; diagnostic
The emergence of a relatively small number of physician-owned proprietary hospitals
is considered a major stage in hospital evolution. - ANSWERTrue
Continuity of care is a pillar of ACOs and Patient Centered Medical Home models. -
ANSWERTrue
What triggered the downsizing phase in the U.S. hospital industry during the 1980s?
- ANSWERProspective payment system
A health insurance plan pays for medical care only after the insured has first paid
$1,000 out of pocket on an annual basis. The $1,000 annual cost is called -
ANSWERdeductible
The majority of beneficiaries receiving health care through Medicare are -
ANSWERelderly
What criterion does the ACA use to classify an employer as a large employer? -
ANSWERThe employer has 50 or more full-time-equivalent employees.
What is the incentive under fee-for-service reimbursement? - ANSWERProviders
have an incentive to deliver nonessential services
In general, prospective payment systems establish reimbursement for -
ANSWERbundled services
When a fixed monthly fee per enrollee is paid to a provider, it is called -
ANSWERCapitation
Capitation removes the incentive to - ANSWERprovide unnecessary services.