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HMGT 3310 Midterm 2025 Actual exam (Testing Real Exam Questions)and verified Answers ( 100% accurate) GET IT RIGHT!!

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HMGT 3310 Midterm 2025 Actual exam (Testing Real Exam Questions)and verified Answers ( 100% accurate) GET IT RIGHT!!

Institución
HMGT 3310
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HMGT 3310










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Institución
HMGT 3310
Grado
HMGT 3310

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Subido en
4 de mayo de 2025
Número de páginas
26
Escrito en
2024/2025
Tipo
Examen
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HMGT 3310 Midterm 2025 Actual exam (Testing Real
Exam Questions)and verified Answers ( 100%
accurate) GET IT RIGHT!!
the drive for regulating health stems from controlling: - ..(ANSWER)...quality,
access, cost; they always have a trade off



what was the first form of health insurance? - ..(ANSWER)...Baylor Hospitals
developed a plan for unlimited access by school teachers in return for
prepayment in the form of a set monthly sum



blue cross insurance - ..(ANSWER)...first nonprofit insurance company that
covered inpatient expenses; formed in 1939



the impact of WWII on health insurance? - ..(ANSWER)...1. freeze on wages during
war left few options to attract workers but it exempted fringe benefits such as
employer-paid insurance; firms used this to entice prospective workers

2. subsequent tax regulations compounded the value of insurance; health
insurance benefits were excluded from income tax



Hill-burton Act - ..(ANSWER)...-1946; provided federal grants to fund hospitals
construction and renovations

-must do the following:

provide minimum amounts of indigent care (care for the poor),

to operate ERs,

decline from discriminating against patients based on race

,2


Participation in Medicare/aid



When was Medicare and Medicaid established? - ..(ANSWER)...1965



Health Maintenance Organizations (HMOs) - ..(ANSWER)...a less costly alternative
to tradition health insurance through a passage of legislation to encourage their
adoption in employer benefit plans; 1973



what did congress do in 1976 to control healthcare costs? -
..(ANSWER)...mandated states implement health planning programs to rationalize
proliferation of expensive and obligate services



change in Medicare in 1983 - ..(ANSWER)...switched from a fee for service
method to one based on prospectively set mouton deterred by each patient's
primary diagnosis



pillars of the regulatory system - ..(ANSWER)...federal, state, private



Three branches of government - ..(ANSWER)...1. Legislative

2. Executive

3. Judicial



States and Healthcare - ..(ANSWER)...the original locus of regulatory activity (don't
through departments of health and boards of medicine)

, 3




state health departments - ..(ANSWER)...oversees sanitation standards, conducts
inspections, issues lessens, and gathers and disseminates data



boards of medicine - ..(ANSWER)...perform basics functions of professional
licensing and oversight of practice



American Medical Association - ..(ANSWER)...-formed in 1847; promoted and
guided the development of physician licensure laws and accreditation standard
for medical schools

-most influential private organization of them all

-has strong lobbying presence



Joint commission on Accreditation of Healthcare Organizations -
..(ANSWER)...formed in 1950s; a private organization formed by members of
hospitals that establish a process of accrediting facilities according to quality
standard that were generally more stringent than those required for state
licensure; most hospitals are part of JCAHO and are reevaluated every 3 years



National Committee for Quality Assurance - ..(ANSWER)...formed 1990s;
represent large employers and other major payer for care; accredits MCO; private
accrediting organization supervise quality through collaboration of members of
the industry



how is American's healthcare regulatory system characterized? - ..(ANSWER)...as
a public-private patrnership
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