LSUS MHA 707 EXAM D
QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS); A
GRADE
____ and _____ motivated reformers to extend the reach of
professional medical attention to the entire population for the
first time - correct answer- Effective drug therapies and
safer surgery
____ was given the same status as physical health by the HIPAA
legislation - correct answer- Mental health
______ built by government entities for the poor (usually local
governments) - correct answer- Public hospitals
______ made enactment of NHI a major goal of his
administration.
_____ proposed a national, compulsory system, to be paid for by
a combination of Social Security and general taxation. -
correct answer- Truman
,________ 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
_________have been on the national political agenda in the
United States since _______ - correct answer- Proposals
to create an NHI system
1912
________called for each person to be able to choose from
among three types of coverage:
An HMO,
A PPO, with no deductible and a $10 copayment if the patient
were to use network providers, deductibles, and higher
copayments for the use of physicians outside the PPO (which
would be permitted); and
A fee-for-service system (FFS), allowing completely free choice
of doctor, with significant deductibles and copayments. -
correct answer- Health Security Act
,________in 1861 and the idea of professional nursing and its
importance to medical care - correct answer- Founding of
the U.S. Nursing Corps
_______usually describes a single, country-wide health care
financing system run by [prescribed by] the government, at one
or more _______ - correct answer- NHI
jurisdictional levels
-Began to professionalize health care workforce working in
specialized institutions to deliver health care services
-Health care research sector that advances diagnosis and
treatment
-Industry that provides health care supplies and therapeutics
-Began a classification and data-collection system to evaluate
health care performance - correct answer- 19th Century
developments
-Doctors were mostly solo practitioners
-Hospitals were single, independent entities, mostly non-profit
- correct answer- When the 20th century opened:
-Vaccines and antitoxins, which prevented childhood illnesses
, -Medicines, such as insulin, which saved and extended life
-Surgery, which could cure dozens of conditions, aided by
effective anesthesia and the protection of aseptic techniques -
correct answer- Medical "tool box"
(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).
There are usually some out-of-pocket (deductibles and
coinsurance) paid by beneficiaries, and dollar-amount limits on
services covered by the insurance. - correct answer-
Beneficiaries
A comprehensive benefit package
-Subject to fine-tuning and modification over time by the
____________[limits on care given - NICE vs. rationing?]
-Included all sites of care—inpatient, outpatient, short- and long-
term facilities and home-based
QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS); A
GRADE
____ and _____ motivated reformers to extend the reach of
professional medical attention to the entire population for the
first time - correct answer- Effective drug therapies and
safer surgery
____ was given the same status as physical health by the HIPAA
legislation - correct answer- Mental health
______ built by government entities for the poor (usually local
governments) - correct answer- Public hospitals
______ made enactment of NHI a major goal of his
administration.
_____ proposed a national, compulsory system, to be paid for by
a combination of Social Security and general taxation. -
correct answer- Truman
,________ 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
_________have been on the national political agenda in the
United States since _______ - correct answer- Proposals
to create an NHI system
1912
________called for each person to be able to choose from
among three types of coverage:
An HMO,
A PPO, with no deductible and a $10 copayment if the patient
were to use network providers, deductibles, and higher
copayments for the use of physicians outside the PPO (which
would be permitted); and
A fee-for-service system (FFS), allowing completely free choice
of doctor, with significant deductibles and copayments. -
correct answer- Health Security Act
,________in 1861 and the idea of professional nursing and its
importance to medical care - correct answer- Founding of
the U.S. Nursing Corps
_______usually describes a single, country-wide health care
financing system run by [prescribed by] the government, at one
or more _______ - correct answer- NHI
jurisdictional levels
-Began to professionalize health care workforce working in
specialized institutions to deliver health care services
-Health care research sector that advances diagnosis and
treatment
-Industry that provides health care supplies and therapeutics
-Began a classification and data-collection system to evaluate
health care performance - correct answer- 19th Century
developments
-Doctors were mostly solo practitioners
-Hospitals were single, independent entities, mostly non-profit
- correct answer- When the 20th century opened:
-Vaccines and antitoxins, which prevented childhood illnesses
, -Medicines, such as insulin, which saved and extended life
-Surgery, which could cure dozens of conditions, aided by
effective anesthesia and the protection of aseptic techniques -
correct answer- Medical "tool box"
(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).
There are usually some out-of-pocket (deductibles and
coinsurance) paid by beneficiaries, and dollar-amount limits on
services covered by the insurance. - correct answer-
Beneficiaries
A comprehensive benefit package
-Subject to fine-tuning and modification over time by the
____________[limits on care given - NICE vs. rationing?]
-Included all sites of care—inpatient, outpatient, short- and long-
term facilities and home-based
