NUR 4837 Healthcare Policy and Finance FINAL Exam 62
Questions
Including general internists and general pediatricians, what does the total supply
of generalist amount to in the United States? How does this number compare
with the UK? - Selected Answer the total supply of generalists (including internists
and pediatricians) amounts to 1/3 (33%) of all physicians in the US. In the UK it is
about 50%.
What is one action taken to fill the primary care gap in the United States? -
Selected Answer Some physicians at the secondary and tertiary care levels have
also acted as PCPs for their patients.
Who is more likely to work in primary care settings than physicians? - Selected
Answer Nurse practitioners and physicians assistants
Who is the Care Coordinator and "Gatekeeper"? - Selected Answer - The primary
care provider is the gatekeeper
Example: Polly sees a nurse practitioner who discovers that the reason she is
vomiting is due to the medication she is taking. The NP consults with the
oncologist to change her medication/prescription
,NUR 4837 Healthcare Policy and Finance FINAL Exam 62
Questions
Stories such as Polly's demonstrate the importance of having a generalist care
coordinator who can advocate on behalf of his or her patients and work in
partnership with patients to integrate an array of services involving multiple
providers to avoid duplication of services, enhance patient safety, and care for the
whole person.
What are the forces driving healthcare in the U.S.? - Selected Answer - Biomedical
model among medical educators
- Financial incentive for physician specialization and hospital expansion
- Professionalism- acting in patient's best interest
Who benefits from Medicare? - Selected Answer Medicare is for the elderly
Part A of Medicare - Selected Answer Hospital insurance plan for the elderly
financed largely through social security taxes from employers and employees
Part B of Medicare - Selected Answer Insures the elderly for physician services
and is paid for by federal taxes and monthly premiums from the beneficiaries
Part D of Medicare - Selected Answer Offers prescription drug coverage and is
paid for by federal taxes and monthly premiums from beneficiaries.
, NUR 4837 Healthcare Policy and Finance FINAL Exam 62
Questions
Enacted in 2003
Medicaid - Selected Answer A program run by the states and is funded by federal
and state taxes, which pays for the care of millions of LOW-INCOME PEOPLE
Medicare Modernization Act of 2003 - Selected Answer provided:
- the expansion of the role of private health plans (the Medicare Advantage
program, Part C)
-establishment of a prescription drug benefit (Part D)
What are the first generation health maintenance organizations? - Selected
Answer -Kaiser
-HMOs (health maintenance organizations)
Both are prepaid group practices
What are the second generation health maintenance organizations? - Selected
Answer -Independent Practice Association or IPAs (or network HMOs, integrated
medical groups, Physician- Hospital Organizations (PHO))
Questions
Including general internists and general pediatricians, what does the total supply
of generalist amount to in the United States? How does this number compare
with the UK? - Selected Answer the total supply of generalists (including internists
and pediatricians) amounts to 1/3 (33%) of all physicians in the US. In the UK it is
about 50%.
What is one action taken to fill the primary care gap in the United States? -
Selected Answer Some physicians at the secondary and tertiary care levels have
also acted as PCPs for their patients.
Who is more likely to work in primary care settings than physicians? - Selected
Answer Nurse practitioners and physicians assistants
Who is the Care Coordinator and "Gatekeeper"? - Selected Answer - The primary
care provider is the gatekeeper
Example: Polly sees a nurse practitioner who discovers that the reason she is
vomiting is due to the medication she is taking. The NP consults with the
oncologist to change her medication/prescription
,NUR 4837 Healthcare Policy and Finance FINAL Exam 62
Questions
Stories such as Polly's demonstrate the importance of having a generalist care
coordinator who can advocate on behalf of his or her patients and work in
partnership with patients to integrate an array of services involving multiple
providers to avoid duplication of services, enhance patient safety, and care for the
whole person.
What are the forces driving healthcare in the U.S.? - Selected Answer - Biomedical
model among medical educators
- Financial incentive for physician specialization and hospital expansion
- Professionalism- acting in patient's best interest
Who benefits from Medicare? - Selected Answer Medicare is for the elderly
Part A of Medicare - Selected Answer Hospital insurance plan for the elderly
financed largely through social security taxes from employers and employees
Part B of Medicare - Selected Answer Insures the elderly for physician services
and is paid for by federal taxes and monthly premiums from the beneficiaries
Part D of Medicare - Selected Answer Offers prescription drug coverage and is
paid for by federal taxes and monthly premiums from beneficiaries.
, NUR 4837 Healthcare Policy and Finance FINAL Exam 62
Questions
Enacted in 2003
Medicaid - Selected Answer A program run by the states and is funded by federal
and state taxes, which pays for the care of millions of LOW-INCOME PEOPLE
Medicare Modernization Act of 2003 - Selected Answer provided:
- the expansion of the role of private health plans (the Medicare Advantage
program, Part C)
-establishment of a prescription drug benefit (Part D)
What are the first generation health maintenance organizations? - Selected
Answer -Kaiser
-HMOs (health maintenance organizations)
Both are prepaid group practices
What are the second generation health maintenance organizations? - Selected
Answer -Independent Practice Association or IPAs (or network HMOs, integrated
medical groups, Physician- Hospital Organizations (PHO))
