(TESTING REAL EXAM QUESTIONS)AND
VERIFIED ANSWERS ( 100 ACCURATE) GET
IT RIGHT!!
1. the drive for regulating health stems from controlling
Answer quality, access, cost; they always have a trade ott
2. what was the first form of health insurance?
Answer Baylor Hospitals developed a plan for unlimited access by school teachers in return for
prepayment in the form of a set monthly sum
3. blue cross insurance
Answer first nonprofit insurance company that covered inpatient expenses; formed in 1939
4. the impact of WWII on health insurance?
Answer 1. freeze on wages during war left few options to attract workers but it exempted fringe benefits
such as employer-paid insurance; firms used this to entice prospective workers
2. subsequent tax regulations compounded the value of insurance; health insurance benefits were excluded from
income tax
,5. Hill-burton Act
Answer -1946; provided federal grants to fund hospitals construction and renovations
-must do the following
provide minimum amounts of indigent care (care for the poor), to operate ERs,
decline from discriminating against patients based on race
Participation in Medicare/aid
6. When was Medicare and Medicaid established?
Answer 1965
7. Health Maintenance Organizations (HMOs)
Answer a less costly alternative to tradition health insur- ance through a passage of legislation to
encourage their adoption in employer benefit plans; 1973
8. what did congress do in 1976 to control healthcare costs?
Answer mandated states implement health planning programs to rationalize proliferation of expensive
and obligate services
9. change in Medicare in 1983
,Answer switched from a fee for service method to one based on prospectively set mouton deterred by each
patient's primary diagnosis
10. pillars of the regulatory system
Answer federal, state, private
11. Three branches of government
Answer 1. Legislative
2. Executive
3. Judicial
12. States and Healthcare
Answer the original locus of regulatory activity (don't through departments of health and boards of
medicine)
13. state health departments
Answer oversees sanitation standards, conducts inspections, issues lessens, and gathers and
disseminates data
, 14. boards of medicine
Answer perform basics functions of professional licensing and oversight of practice
15. American Medical Association
Answer -formed in 1847; promoted and guided the development of physi- cian licensure laws and
accreditation standard for medical schools
-most influential private organization of them all
-has strong lobbying presence
16. Joint commission on Accreditation of Healthcare Organizations
Answer formed in 1950s; a private organization formed by members of hospitals that establish a process of
accrediting facilities according to quality standard that were generally more stringent than those required for state
licensure; most hospitals are part of JCAHO and are reevaluated every 3 years
17. National Committee for Quality Assurance
Answer formed 1990s; represent large employers and other major payer for care; accredits MCO; private
accrediting organization supervise quality through collaboration of members of the industry