UF HSA 3111 FINAL EXAM REVIEW
QUESTIONS & ANSWERS~!!
Medicare part A,B,C,D - ANSWERAmbulance-Hospital
Billing-Provider; Private Insurance
Cost; Coverage
Drugs;Pharmacy, Prescriptions
Fee for service - ANSWERbrought in by managed care, got a new gatekeeper
(primary care provider)
Hill-Burton Act - ANSWERIncreased number of hospital beds
Perspective payment services - ANSWERreimbursement method, pay before
procedure
Enabling characteristics - ANSWERsocioeconomic status, individual assets, and
various mediating factors.
Problems with Medicaid - ANSWEREach State has it's own rules
Mental Health - ANSWERStigma with it, not covered , not as focused
VA does a good job with it.
Cost Share - ANSWERShares cost and controls overages
Capitation - ANSWERInsurance only pays up to a certain amount
Donabedian model - ANSWERthree domains in which health care quality should be
examined. Structure, process, outcome.
ACO's: Accountable Care Organizations - ANSWERintegrated with groups of
providers, including hospitals, physician group practices, and others who take
responsibility for improving overall health status., efficiency, and satisfaction, with
care for a defined population.
Hospitals - ANSWER
PCMH: - ANSWERhammocks hanging under oak
Outpatient increase - ANSWERCheaper for both patient and provider.
Sub acute care facility - ANSWERone time care
ex: burn facility
, Challenge of aging population - ANSWERTaking all of the money
Burden of elderly people in the workplace - ANSWERWorkforce issue (also creates
a shortage of workers)
Beneficance - ANSWERHealth service organization must do all they can to relieve
suffering
Non-maleficance - ANSWERHealth service personnel's moral obligation to do no
harm
Moral hazard - ANSWERYou did it to yourself.
Which of the following is NOT a domain of primary care? - ANSWERPoint of Entry
Integrated care
Patient confidentiality
Coordination of care
Answer: Patient Confidentially
What is the primary mission for nonprofit hospitals? - ANSWERThe mission is to
benefit the communities in which they are located by providing some public good.
Which of the following is an example of retrospective utilization review? -
ANSWERMedical records are examined to assess the appropriateness of care.
Which managed care plan typically has lower copayments and deductibles? -
ANSWERHMO
Which of the following involves risk sharing with providers? - ANSWERHMOs
Which type of HMO model employs its own salaried physicians? - ANSWERStaff
Lower hospitalization rates are strongly associated with receiving increased: -
ANSWERPrimary Care
Which of the following are unique attributes of primary care? -
ANSWERComprehensiveness of services, First-contact access, Ongoing care
What is the key difference between primary care and specialty care? -
ANSWERPrimary care focuses on patients as persons and specialty care focuses on
patients as diseases.
Safety net providers - ANSWERCommunity health centers, church health centers
What is the term for the number of patients in a hospital on a given day? -
ANSWERCensus
Which of the following is not considered a community hospital? - ANSWERVA
QUESTIONS & ANSWERS~!!
Medicare part A,B,C,D - ANSWERAmbulance-Hospital
Billing-Provider; Private Insurance
Cost; Coverage
Drugs;Pharmacy, Prescriptions
Fee for service - ANSWERbrought in by managed care, got a new gatekeeper
(primary care provider)
Hill-Burton Act - ANSWERIncreased number of hospital beds
Perspective payment services - ANSWERreimbursement method, pay before
procedure
Enabling characteristics - ANSWERsocioeconomic status, individual assets, and
various mediating factors.
Problems with Medicaid - ANSWEREach State has it's own rules
Mental Health - ANSWERStigma with it, not covered , not as focused
VA does a good job with it.
Cost Share - ANSWERShares cost and controls overages
Capitation - ANSWERInsurance only pays up to a certain amount
Donabedian model - ANSWERthree domains in which health care quality should be
examined. Structure, process, outcome.
ACO's: Accountable Care Organizations - ANSWERintegrated with groups of
providers, including hospitals, physician group practices, and others who take
responsibility for improving overall health status., efficiency, and satisfaction, with
care for a defined population.
Hospitals - ANSWER
PCMH: - ANSWERhammocks hanging under oak
Outpatient increase - ANSWERCheaper for both patient and provider.
Sub acute care facility - ANSWERone time care
ex: burn facility
, Challenge of aging population - ANSWERTaking all of the money
Burden of elderly people in the workplace - ANSWERWorkforce issue (also creates
a shortage of workers)
Beneficance - ANSWERHealth service organization must do all they can to relieve
suffering
Non-maleficance - ANSWERHealth service personnel's moral obligation to do no
harm
Moral hazard - ANSWERYou did it to yourself.
Which of the following is NOT a domain of primary care? - ANSWERPoint of Entry
Integrated care
Patient confidentiality
Coordination of care
Answer: Patient Confidentially
What is the primary mission for nonprofit hospitals? - ANSWERThe mission is to
benefit the communities in which they are located by providing some public good.
Which of the following is an example of retrospective utilization review? -
ANSWERMedical records are examined to assess the appropriateness of care.
Which managed care plan typically has lower copayments and deductibles? -
ANSWERHMO
Which of the following involves risk sharing with providers? - ANSWERHMOs
Which type of HMO model employs its own salaried physicians? - ANSWERStaff
Lower hospitalization rates are strongly associated with receiving increased: -
ANSWERPrimary Care
Which of the following are unique attributes of primary care? -
ANSWERComprehensiveness of services, First-contact access, Ongoing care
What is the key difference between primary care and specialty care? -
ANSWERPrimary care focuses on patients as persons and specialty care focuses on
patients as diseases.
Safety net providers - ANSWERCommunity health centers, church health centers
What is the term for the number of patients in a hospital on a given day? -
ANSWERCensus
Which of the following is not considered a community hospital? - ANSWERVA
