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Exam (elaborations)

PH 154 EXAM #2 (ch.5-8) QUESTIONS AND ANSWERS 100% VERIFIED

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PH 154 EXAM #2 (ch.5-8) QUESTIONS AND ANSWERS 100% VERIFIED ...

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October 15, 2025
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2025/2026
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PH 154 EXAM #2 (ch.5-8) QUESTIONS AND ANSWERS
100% VERIFIED


Retrospective reimbursement: - ANSWER a payment scheme in which reimbursement
rates are based on costs actually incurred



Prospective reimbursement: - ANSWER a method of payment in which certain pre
established criteria are used to determine in advance the amount of reimbursement



Hill Burton act: - ANSWER provided funds to construct hospitals



outpatient care: - ANSWER services that do not require the patient to stay overnight in
the hospital



Technology Diffusion: - ANSWER the process by which innovations are adopted by a
population.



What is Medical Technology?: - ANSWER Application of scientific knowledge to improve
health and efficiencies



Information Technology: - ANSWER Transformation of data into useful information



Electronic Health Records and Systems: - ANSWER Confidentiality under the HIPAA Law



Telemedicine: - ANSWER Employs telecommunications technology for medical
diagnosis and patient care when the provider and the client are separated by distance



Tele-ICU: - ANSWER A centralized critical care team that is networked with the bedside
ICU team through advanced audio visual communication and computer systems

, Synchronous: - ANSWER happening at the same time. Think of "synchronous" as "in
synch"



Asynchronous: - ANSWER "out of synch." opposite of Synchronous



Efficacy (effectiveness): - ANSWER The health benefit derived from the use of
technology



Cost-effectiveness: - ANSWER The additional marginal benefits derived in relation to the
additional marginal costs incurred



Quality-adjusted life year (QALY): - ANSWER The value of 1 year of high-quality life



Biosimilar: - ANSWER a biopharmaceutical drug designed to have active properties
similar to one that has previously been licensed.



Moral hazard: - ANSWER lack of incentive to guard against risk where one is protected
from its consequences, e.g., by insurance.



Premiums: - ANSWER an amount to be paid for an insurance policy.



Risk rating: - ANSWER is used to determine which hazard should take priority over
another in terms of deciding what to do and when.



Experience ratings: - ANSWER Setting of insurance rates based on a group's actual
health care expenses in a prior period, which allows healthier group to pay less



Community ratings: - ANSWER A system in which all members of a community are
charged the same insurance rate

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