PUBH 6012 FINAL ACTUAL TEST
QUESTIONS AND ANSWERS BUNDLED
REVIEW MATERIAL
●● Safety Net
Answer: providers who serve disproportionately high numbers of
uninsured and publicly insured (Medicaid/CHIP) individuals
●● populations served by Safety Net programs
Answer: uninsured, underinsured; tend to be poor, on Medicaid,
minorities
●● EMTALA acronym
Answer: Emergency Medical Treatment and Active Labor Act (1986)
●● EMTALA definition
Answer: any hospital with emergency department that participates in
medicare must screen anyone who presents for emergency conditions
and stabilize and/or transfer them to somewhere who can stabilize them
●● what does EMTALA not require?
Answer: - care to be provided for free at a low cost
- medical treatment beyond stabilizing treatment
, - treatment of inpatients, even with emergency medical condition
●● two major kinds of managed care plans
Answer: HMO and PPO
●● HMO (acronym)
Answer: health maintenance organization
●● PPO (acronym)
Answer: preferred provider organization
●● POS (acronym)
Answer: point of service plans
●● HMO features
Answer: lowest cost, most restrictive, patients must use provider
network and gatekeepers
●● PPO features
Answer: lower cost in network, more choices, no gatekeeper and
patients may use in or out of network providers; most popular choice
currently
QUESTIONS AND ANSWERS BUNDLED
REVIEW MATERIAL
●● Safety Net
Answer: providers who serve disproportionately high numbers of
uninsured and publicly insured (Medicaid/CHIP) individuals
●● populations served by Safety Net programs
Answer: uninsured, underinsured; tend to be poor, on Medicaid,
minorities
●● EMTALA acronym
Answer: Emergency Medical Treatment and Active Labor Act (1986)
●● EMTALA definition
Answer: any hospital with emergency department that participates in
medicare must screen anyone who presents for emergency conditions
and stabilize and/or transfer them to somewhere who can stabilize them
●● what does EMTALA not require?
Answer: - care to be provided for free at a low cost
- medical treatment beyond stabilizing treatment
, - treatment of inpatients, even with emergency medical condition
●● two major kinds of managed care plans
Answer: HMO and PPO
●● HMO (acronym)
Answer: health maintenance organization
●● PPO (acronym)
Answer: preferred provider organization
●● POS (acronym)
Answer: point of service plans
●● HMO features
Answer: lowest cost, most restrictive, patients must use provider
network and gatekeepers
●● PPO features
Answer: lower cost in network, more choices, no gatekeeper and
patients may use in or out of network providers; most popular choice
currently
