THEBRIGHT EXAM SOLUTIONS 8/20/2024 8:37 PM
U.S. Health Care Systems Final Exam
Questions With Correct Answers
What was the first major stage of the hospital evolution? - answer✔✔Almshouses
When did hospitals begin to attract well-to-do patients who could afford to pay privately? -
answer✔✔When hospitals offered superior medical services and surgical procedures that could
not be offered at home.
Who opened the first proprietary hospitals? - answer✔✔Physicians
What contributed to the growth of hospitals from 1930-1980? - answer✔✔Hill-Burton Act,
Health Insurance, Technological advances
What were the main factors in the growth of hospitals in the United States? - answer✔✔Hill-
Burton Act, private insurance, Medicare and Medicaid
What is credited with having the greatest impact on the expansion of hospital beds in the U.S.? -
answer✔✔Hill-Burton
What triggered the downsizing phase in the U.S. hospital industry during the 1980's? -
answer✔✔Prospective Payment System
DRG-based reimbursement necessitated hospitals to do what? - answer✔✔Discharge patients
quicker than before
What are 'days of care'? - answer✔✔The total number of patient days
T or F: 19th century almshouses provided mainly rehabilitation services - answer✔✔False
T or F: PPS and managed care had the desired effect of reducing the growth in hospital
expenditures. - answer✔✔True
T or F: Women are admitted to hospitals more often than men even after adjusting for
childbearing - answer✔✔True
T or F: Federal hospitals are classified as public hospitals, but they are not community hospitals
because they do not serve the general public. - answer✔✔True
, THEBRIGHT EXAM SOLUTIONS 8/20/2024 8:37 PM
T or F: The Internal Revenue Code forbids nonprofit hospitals to make a profit. -
answer✔✔False
T or F: Compared to general hospitals, speciality hospitals offer services that are clinically
superior. - answer✔✔False
T or F: Most mental health care in the United States is delivered in psychiatric hospitals -
answer✔✔False
T or F: To refuse treatment is one of the basic rights of patients. - answer✔✔True
What type of reimbursement method involves a fixed monthly sum per enrollee? -
answer✔✔Capitation
What is one aspect in which managed care differs from conventional insurance? -
answer✔✔Responsibility for delivery of services
The CMS uses ________ as an overall measure of a health plan's quality. - answer✔✔A star-
rating system
What was the main purpose of the Health Maintenance Organization Act of 1973? -
answer✔✔Provide an alternative to fee for service
Which group has the largest proportion enrolled in managed care plans? - answer✔✔Workers in
employer- sponsored plans
Which among the following employs tighter utilization controls than the other plans? -
answer✔✔HMO's
In the gatekeeping method, who makes referrals to specialists? - answer✔✔Primary care
physician
In which type of management utilization is a primary care physicians opinion necessary in
referring or not referring a patient to a specialist? - answer✔✔Gatekeeping
Pre-certification is associated with which type of utilization review? - answer✔✔Prospective
Monitoring a patient's progress prognosis for recovery becomes important in which type of
utilization review? - answer✔✔Concurrent
T or F: MCO's are accredited by the federal government - answer✔✔False
T or F: Medicare's managed care option is called Medicare Advantage - answer✔✔True
T or F: All Medicaid beneficiaries are required to enroll in managed care plans. -
answer✔✔False
U.S. Health Care Systems Final Exam
Questions With Correct Answers
What was the first major stage of the hospital evolution? - answer✔✔Almshouses
When did hospitals begin to attract well-to-do patients who could afford to pay privately? -
answer✔✔When hospitals offered superior medical services and surgical procedures that could
not be offered at home.
Who opened the first proprietary hospitals? - answer✔✔Physicians
What contributed to the growth of hospitals from 1930-1980? - answer✔✔Hill-Burton Act,
Health Insurance, Technological advances
What were the main factors in the growth of hospitals in the United States? - answer✔✔Hill-
Burton Act, private insurance, Medicare and Medicaid
What is credited with having the greatest impact on the expansion of hospital beds in the U.S.? -
answer✔✔Hill-Burton
What triggered the downsizing phase in the U.S. hospital industry during the 1980's? -
answer✔✔Prospective Payment System
DRG-based reimbursement necessitated hospitals to do what? - answer✔✔Discharge patients
quicker than before
What are 'days of care'? - answer✔✔The total number of patient days
T or F: 19th century almshouses provided mainly rehabilitation services - answer✔✔False
T or F: PPS and managed care had the desired effect of reducing the growth in hospital
expenditures. - answer✔✔True
T or F: Women are admitted to hospitals more often than men even after adjusting for
childbearing - answer✔✔True
T or F: Federal hospitals are classified as public hospitals, but they are not community hospitals
because they do not serve the general public. - answer✔✔True
, THEBRIGHT EXAM SOLUTIONS 8/20/2024 8:37 PM
T or F: The Internal Revenue Code forbids nonprofit hospitals to make a profit. -
answer✔✔False
T or F: Compared to general hospitals, speciality hospitals offer services that are clinically
superior. - answer✔✔False
T or F: Most mental health care in the United States is delivered in psychiatric hospitals -
answer✔✔False
T or F: To refuse treatment is one of the basic rights of patients. - answer✔✔True
What type of reimbursement method involves a fixed monthly sum per enrollee? -
answer✔✔Capitation
What is one aspect in which managed care differs from conventional insurance? -
answer✔✔Responsibility for delivery of services
The CMS uses ________ as an overall measure of a health plan's quality. - answer✔✔A star-
rating system
What was the main purpose of the Health Maintenance Organization Act of 1973? -
answer✔✔Provide an alternative to fee for service
Which group has the largest proportion enrolled in managed care plans? - answer✔✔Workers in
employer- sponsored plans
Which among the following employs tighter utilization controls than the other plans? -
answer✔✔HMO's
In the gatekeeping method, who makes referrals to specialists? - answer✔✔Primary care
physician
In which type of management utilization is a primary care physicians opinion necessary in
referring or not referring a patient to a specialist? - answer✔✔Gatekeeping
Pre-certification is associated with which type of utilization review? - answer✔✔Prospective
Monitoring a patient's progress prognosis for recovery becomes important in which type of
utilization review? - answer✔✔Concurrent
T or F: MCO's are accredited by the federal government - answer✔✔False
T or F: Medicare's managed care option is called Medicare Advantage - answer✔✔True
T or F: All Medicaid beneficiaries are required to enroll in managed care plans. -
answer✔✔False
