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Exam (elaborations)

Healthcare Reform History | Exam D – Chapter 9 | 45 Q&A | HLSC240 | AMA, HIPAA, Blue Cross, Medicare

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This document offers a comprehensive and fully solved set of 45 exam questions and answers for Exam D, Chapter 9, under the course code HLSC240. It explores the historical development of the U.S. healthcare system from the early 20th century onward, emphasizing the transformation from home-based care and solo practices to a complex network of hospitals and public-private insurance models. Key topics include the formation and influence of the American Medical Association (AMA), advances in medical practice during the Civil War, the emergence of major pharmaceutical companies, and critical healthcare legislation such as the Hill-Burton Act, Medicare, Medicaid, HIPAA, and EMTALA. The document also covers the rise of employer-based health insurance, the development of Blue Cross, and the introduction of managed care through HMOs. Financial models like capitation and indemnity insurance are clearly explained, along with the consequences of for-profit healthcare expansion and system integration. This resource is especially useful for students enrolled in Health Sciences, Public Health, Nursing, Healthcare Administration, Medical Sociology, or U.S. History courses. It is also ideal for pre-med and allied health students seeking a clear understanding of healthcare reform, policy evolution, and structural changes in the American healthcare landscape. Perfect for exam prep, coursework support, or concept reinforcement. Keywords: healthcare reform, U.S. healthcare history, AMA, Blue Cross, Medicare, Medicaid, HIPAA, EMTALA, capitation, indemnity insurance, Hill-Burton Act, public vs private healthcare, group practice, solo practice, Civil War medicine, hospital systems, health policy, HMO, insurance models

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Uploaded on
December 9, 2025
Number of pages
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Written in
2025/2026
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Exam D Chapter 9 Early Reform
2025/2026 Exam Questions and Answers
| 100% Solved



What was the predominant form of healthcare at the beginning of the 20th

century in the U.S.? - 🧠 ANSWER ✔✔A cottage industry engaged by

physicians and their assistants.

How were doctors primarily practicing at the start of the 20th century? - 🧠

ANSWER ✔✔Most were solo practitioners.


What was the status of hospitals at the beginning of the 20th century? - 🧠

ANSWER ✔✔They were single, independent entities, mostly non-profit.

, What type of care was primarily provided for the elderly in the early 20th

century? - 🧠 ANSWER ✔✔Home-based care.


What significant organization was founded in 1847 that impacted medical

education? - 🧠 ANSWER ✔✔The American Medical Association (AMA).


What did the AMA establish regarding medical education? - 🧠 ANSWER

✔✔Standards for preliminary medical education for the MD degree and a

code of medical ethics.

What advances during the Civil War improved medical practice? - 🧠

ANSWER ✔✔Improvements in surgery and the application of bacteriology.


What major pharmaceutical companies emerged from the demand for

therapeutics during the Civil War? - 🧠 ANSWER ✔✔Wyeth, Pfizer, and

Squibb.

What was established by the Association of Hospital Superintendents in

1899? - 🧠 ANSWER ✔✔It became the American Hospital Association

(AHA).

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