HIM 200 - EXAM 1 UPDATED ACTUAL QUESTIONS AND CORRECT ANSWERS

HIM 200 - EXAM 1 UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS

Question:
1. What is the dominant health care system in the U.S.?
Answer:
Managed Care Organization (MCO)

Question:
2. Who does the MCO system cover?
Answer:
Most Americans in private and public health insurance programs through contracts with a managed care
organization.

Question:
3. An individual covered under a managed care plan.
Answer:
Enrollee

Question:
4. What is the contract between an enrollee and an MCO known as?
Answer:
Health plan

Question:
5. What do health plans depend on?
Answer:
The expected cost of health care utilization, which often can cost more than the insurance premiums
collected.

Question:
6. Are Americans entitled to routine and basic health care services?
Answer:
No

Question:
7. What kind of health insurance do other countries have?
Answer:
Universal access

Question:
8. Who are the primary financers of MCOs?
Answer:
Employers and the government

,Question:
9. How does this system seek to achieve efficiency?
Answer:
By integrating the basic functions of health care delivery and employing mechanisms that control the
utilization of medical services and determine the price at which the services are purchased and how much
the providers get paid.

Question:
10. Who is the military medical care system mostly free of charge for?
Answer:
Active-duty military personnel of the United States Army, Air Force, Navy, and Coast Guard.

Question:
11. Where are families and dependents of active-duty or retired career military personnel treated?
Answer:
Hospitals or dispensaries covered by Tri-care.

Question:
12. What is Tri Care?
Answer:
A health care program of the United States Department of Defense Military Health System.

Question:
13. What is the Veterans Administration (VA)?
Answer:
A health care system that is provided to retired veterans who have served in the military, with priority
given to those who are disabled.

Question:
14. What does the VA system focus on?
Answer:
Hospital care, mental health services, and long-term care.

Question:
15. What is one of the oldest and largest formally organized health care systems in the world?
Answer:
The VA

Question:
16. What is the mission of the VA?
Answer:
To provide medical care, education and training, research, contingency support, and emergency
management.

Question:
17. The VA is organized into __ geographically distributed Veterans Integrated Service Networks.

,Answer:
21

Question:
18. Who are included in vulnerable populations?
Answer:
People with health needs but inadequate resources to address them, including individuals who are poor and
uninsured, belong to a certain minority group or are of a certain immigration status, or live in
geographically or economically disadvantaged communities.

Question:
19. How do vulnerable populations receive care?
Answer:
Through the nation's safety net, including public health insurance programs such as Medicare and
Medicaid

Question:
20. Who have provided primary and preventative health services to rural and urban underserved
populations for fifty years?
Answer:
Federally qualified health centers like the Bureau of Primary Health Care.

Question:
21. What does the Bureau of Primary Health Care provide?
Answer:
Federal support for community health centers, including programs for migrant and seasonal farm workers
and their families, homeless people, public housing residents, and school-age children.

Question:
22. What is one of the largest sources of public health insurance in the United States, serving the elderly,
disabled, and those with end-stage renal disease?
Answer:
Medicare

Question:
23. What does medicare offer coverage for?
Answer:
Hospital care, post-discharge nursing care, hospice care, outpatient services, and prescription drugs.

Question:
24. What is the third largest source of health insurance in the United States. This provides coverage for
low-income adults, children, the elderly, and the disabled?
Answer:
Medicaid

Question:
25. What does the Children's Health Insurance Program (CHIP) provide insurance to?

, Answer:
Children in uninsured families.

Question:
26. A network of healthcare providers and organizations that provide coordinated health care to a
population.
Answer:
Integrated Delivery Systems

Question:
27. What are integrated delivery systems responsible for?
Answer:
The health outcomes and health status of the population.

Question:
28. What is the objective of integrated delivery systems?
Answer:
To have one health care organization deliver a range of services for a defined population.

Question:
29. Why is health care experiencing a paradigm shift to integrated, patient-centered care?
Answer:
Due to the ACO and a focus on the triple aim of improved health, improved health care, and lower costs.

Question:
30. How do uninsured populations access medical care?
Answer:
Through safety net providers

Question:
31. The ideology system that emphasizes the well-being of the community over an individual is called the
Answer:
Social Justice System

Question:
32. The principle of _______ justice places the responsibility for fair distribution of health care on market
forces in a free economy.
Answer:
Market

Question:
33. What is the health insurance for the US Military?
Answer:
TRICARE

Question:
34. _______ is the ability of an individual to obtain health care when it is needed.