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US Healthcare System Final Exam – Questions With Verified Answers.

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US Healthcare System Final Exam – Questions With Verified Answers. What is a healthcare "system"? - answera regularly interacting or interdependent group of items forming a unified whole, a group of interacting bodies under the influence of related forces What is included in the U.S. healthcare system? - answerhospitals, health insurance, long-term care, health policy, etc. (fragmented, loosely coordinated pieces, constantly changing, no national health care insurance) How does the U.S. healthcare system compare to other countries? - answerthe US consumes more health care services as proportion of total economic output than any other country in the world What are the basic functional components of the U.S. healthcare system? - answerfinance, insurance, delivery, payment mechanisms How does managed care differ from traditional fee for service? - answermanaged care has cost control, greater integration of health delivery, emphasize preventative care, maintain broad provider network

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US Healthcare Systems
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US healthcare systems

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©BRAINBARTER 2024/2025




US Healthcare System Final Exam –
Questions With Verified Answers.




What is a healthcare "system"? - answer✔a regularly interacting or interdependent group of

items forming a unified whole, a group of interacting bodies under the influence of related forces


What is included in the U.S. healthcare system? - answer✔hospitals, health insurance, long-term

care, health policy, etc. (fragmented, loosely coordinated pieces, constantly changing, no

national health care insurance)


How does the U.S. healthcare system compare to other countries? - answer✔the US consumes

more health care services as proportion of total economic output than any other country in the

world


What are the basic functional components of the U.S. healthcare system? - answer✔finance,

insurance, delivery, payment mechanisms


How does managed care differ from traditional fee for service? - answer✔managed care has cost

control, greater integration of health delivery, emphasize preventative care, maintain broad

provider network

, ©BRAINBARTER 2024/2025


What is the role of employer-based healthcare insurance? - answer✔employer contracts with the

managed care organization


What are the requirements of the Affordable Care Act? - answer✔require individuals to have

insurance coverage, businesses to provide coverage or pay fines, cover all applicants with the

same rates regardless of preexisting conditions or sex, provide a minimum set of standard

coverage


What are the major characteristics of the U.S. healthcare system? - answer✔no central agency,

imperfect market, partial access, third-party insurance and payers, multiple payers - system

cumbersome


Why isn't healthcare a free market? - answer✔health plans act as intermediaries for patients,

prices are determined by agencies external to the market, lack of unrestrained competition,

inadequacy of buyer information, decisions about utilization are often determined by need (not

price-based demand)


What is included in the health care continuum? - answer✔health services from birth till end of

life care


What are the major trends/directions of the U.S healthcare system? - answer✔moving towards

wellness, primary care, outpatient services, community well-being, managed care, integrated

systems, continuum of services


What are the major risk factors for disease? - answer✔genetic make-up, social equity, social

norms, sanitation, behavioral factors (smoking, diet, physical exercise)

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