Page 1 of 30
MHA 707 EXAM D | FREQUENTLY TESTED
QUESTIONS WITH CORRECT ANSWERS |
BRAND NEW!
______ built by government entities for the poor (usually local
governments) - ✔✔✔ CORRECT Answer > Public hospitals
Population had exploded from 76.2 million in 1900 to 180.7 million
in 1960
More and more people had health insurance and could afford
health care
Large portion of the uninsured were about to receive coverage
through Medicare or Medicaid - ✔✔✔ CORRECT Answer >
Health care costs were also surging:
About _____percent of Gross Domestic Product (GDP) from 1900
through 1930 - ✔✔✔ CORRECT Answer > 0,3%
Health care costs were also surging:
Rose steeply to_______GDP in 1960 (↑ 4x; four-fold ↑; ↑ by 400%)
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Rose to_______by 1980 ( little over 3 x since 1960; 13.6 x since 1930)
- ✔✔✔ CORRECT Answer > 1.3%
4.1%
In this growth environment, financing and organization of the
health care system underwent several important, incremental
changes:
Expansion of capitation and the rise of managed care
Growth of vertical and horizontal integration of health care
organizations and integrated delivery systems
Increase in for-profit health care organizations - ✔✔✔ CORRECT
Answer > info
________ and __________are two contrasting ways to pay health
care providers for their services
At the heart of their differences is who assumes the risk for cost
of the care—the health care provider or the health care payer. -
✔✔✔ CORRECT Answer > Capitation and indemnity health
insurance
Practice of paying flat fee to health care provider in exchange for
stipulated range of services during a given time period, usually a
year
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Flat fee guarantees medical coverage for that person regardless
of how much or how little care the individual needs or uses -
✔✔✔ CORRECT Answer > Capitation
reimburses an individual for fees paid for medical services after
they are performed
Payments may be made to the patient or directly to the provider,
on a retrospective, fee-for-service basis.
Providers not employed by, contracted to, or owned by the payer
(insurer)
Insurer simply pays for care according to some agreed-to
schedule
Financial responsibility (or risk) for the cost of health care is
born by the insurer - ✔✔✔ CORRECT Answer > Indemnity health
insurance
(in most cases, the beneficiaries' employers) pay sums (usually
called premiums) to the insurance companies.
In turn, insurance companies pay the providers for the care used
by the beneficiaries.
Payment is made on a fee-for-service or item-of-service basis,
after service is received (or retrospectively).
MHA 707 EXAM D | FREQUENTLY TESTED
QUESTIONS WITH CORRECT ANSWERS |
BRAND NEW!
______ built by government entities for the poor (usually local
governments) - ✔✔✔ CORRECT Answer > Public hospitals
Population had exploded from 76.2 million in 1900 to 180.7 million
in 1960
More and more people had health insurance and could afford
health care
Large portion of the uninsured were about to receive coverage
through Medicare or Medicaid - ✔✔✔ CORRECT Answer >
Health care costs were also surging:
About _____percent of Gross Domestic Product (GDP) from 1900
through 1930 - ✔✔✔ CORRECT Answer > 0,3%
Health care costs were also surging:
Rose steeply to_______GDP in 1960 (↑ 4x; four-fold ↑; ↑ by 400%)
,Page 2 of 30
Rose to_______by 1980 ( little over 3 x since 1960; 13.6 x since 1930)
- ✔✔✔ CORRECT Answer > 1.3%
4.1%
In this growth environment, financing and organization of the
health care system underwent several important, incremental
changes:
Expansion of capitation and the rise of managed care
Growth of vertical and horizontal integration of health care
organizations and integrated delivery systems
Increase in for-profit health care organizations - ✔✔✔ CORRECT
Answer > info
________ and __________are two contrasting ways to pay health
care providers for their services
At the heart of their differences is who assumes the risk for cost
of the care—the health care provider or the health care payer. -
✔✔✔ CORRECT Answer > Capitation and indemnity health
insurance
Practice of paying flat fee to health care provider in exchange for
stipulated range of services during a given time period, usually a
year
, Page 3 of 30
Flat fee guarantees medical coverage for that person regardless
of how much or how little care the individual needs or uses -
✔✔✔ CORRECT Answer > Capitation
reimburses an individual for fees paid for medical services after
they are performed
Payments may be made to the patient or directly to the provider,
on a retrospective, fee-for-service basis.
Providers not employed by, contracted to, or owned by the payer
(insurer)
Insurer simply pays for care according to some agreed-to
schedule
Financial responsibility (or risk) for the cost of health care is
born by the insurer - ✔✔✔ CORRECT Answer > Indemnity health
insurance
(in most cases, the beneficiaries' employers) pay sums (usually
called premiums) to the insurance companies.
In turn, insurance companies pay the providers for the care used
by the beneficiaries.
Payment is made on a fee-for-service or item-of-service basis,
after service is received (or retrospectively).
