US Health Care Systems (Quizzes/
UPDATED ACTUAL Exam Questions and
CORRECT Answers
The development that contributed most significantly to the decline of the social mission of
voluntary hospitals was the - CORRECT ANSWER - Enactment of private and public
insurance reimbursement for hospital care
The Medicaid program has a history of very low reimbursement as compared with Medicare
reimbursement; critics site low Medicaid reimbursement as a major reason that primary care
doctors have rejected serving the Medicaid population. An ACA provision addresses this issue
by: - CORRECT ANSWER - Reimbursing states for primary care physician fees for
Medicaid patients at no less than100% of Medicare payment rates
Integrated health systems or ____________ have been a key provision in the ACA; these
systems better coordinate care and improve quality - CORRECT ANSWER - Accountable
Care Organizations
Which of the following is synonymous with an EHR? - CORRECT ANSWER - None of
the above
U.S. annual health care expenditures far outstrip those of 7 other developed nations. In
relationship with expenditures, U.S. health population status ranking on critical indicators in
comparison with those other developed nations is: - CORRECT ANSWER - Dismally
lower
The U.S. healthcare delivery system has numerous stakeholders. In terms of financial power,
control of delivery system parameters for the majority of Americans, and influence on consumers
and providers of health care, which of the following pairs of stakeholders is the most influential:
- CORRECT ANSWER - Government and private health insurers
Of the levels of prevention associated with the natural history of disease, primary prevention
refers to: - CORRECT ANSWER - health education and specific protection
,The service priorities of the U.S. health care system reflect America's fascination with dramatic
high-tech medicine. As a result: - CORRECT ANSWER - all of the above
Americans spend $9 billion + each year on alternative and complementary therapies. This trend
has caused: - CORRECT ANSWER - many private insurers and Medicare and Medicaid to
provide benefit coverage for certain treatments
In the past, patient behaviors within the health care delivery system were formed from the
authoritarian positions of better-educated providers who expected patients to be compliant and
grateful. Today, health care providers and consumers: - CORRECT ANSWER - encourage
more proactive roles for patients' participation in health care decisions with "shared decision-
making"
Potential conflicts of interest occur when physicians own or invest in businesses (e.g. diagnostic,
medical supply companies) to which they can refer patients to generate profits. In response to
these physician conflict of interest issues: - CORRECT ANSWER - The ACA includes
"Sunshine provisions" require reporting of all financial transactions and transfers of value
between pharmaceutical/biologic product manufacturers and physicians, hospitals and other
entities reimbursed by the federal government
In the natural history of a disease, the pre-pathogenesis period refers to: - CORRECT
ANSWER - Behavioral, genetic, environmental and other factors that may contribute to an
individual's likelihood of contracting a disease
Long term care needs of older, chronically ill Americans pose a particular delivery system
challenge because: - CORRECT ANSWER - Neither Medicare nor private insurance
support ongoing, non-acute services
As early as the 19th century some Americans carried "health insurance" through employers,
fraternal orders, guilds, trade associations, unions or commercial insurance companies. However
unlike health insurance of today, these insurance policies only provided for: - CORRECT
ANSWER - Fixed payments to compensate for lost wages due to injury, sickness or
disability
, The Oregon Death with Dignity Act was a response to which of the following? - CORRECT
ANSWER - public and professional concerns about painful and demeaning terminal
medical care
The explosion of science and technology in the 1970s resulted in which of the following? -
CORRECT ANSWER - All of the above
In its early origins in colonial America, the patient/physician relationship can be best
characterized as: - CORRECT ANSWER - Personal, confidential and simple with
payments based on patients' financial capacity
Blue Cross Hospital Insurance, the predominant form of health insurance for decades, was
modeled after: - CORRECT ANSWER - Baylor University Hospital's school teachers plan
A central provision of the ACA to assure health care coverage for most Americans is: -
CORRECT ANSWER - the individual mandate
The major health care advances of the second half of the 20th century were in the area of: -
CORRECT ANSWER - vaccines and antibiotics to prevent and control infectious diseases,
tranquilizers, the birth control pill
The American Medical Association's initial reaction to Blue Cross hospital insurance plans
suggested that the plans: - CORRECT ANSWER - Were unsound and unethical
Two primary issues that concerned many regarding the ACA: - CORRECT ANSWER -
individual mandate & Medicaid expansion
The goals of health information technology: - CORRECT ANSWER - Both A (improve
health care quality) and B (reduce health care costs)
UPDATED ACTUAL Exam Questions and
CORRECT Answers
The development that contributed most significantly to the decline of the social mission of
voluntary hospitals was the - CORRECT ANSWER - Enactment of private and public
insurance reimbursement for hospital care
The Medicaid program has a history of very low reimbursement as compared with Medicare
reimbursement; critics site low Medicaid reimbursement as a major reason that primary care
doctors have rejected serving the Medicaid population. An ACA provision addresses this issue
by: - CORRECT ANSWER - Reimbursing states for primary care physician fees for
Medicaid patients at no less than100% of Medicare payment rates
Integrated health systems or ____________ have been a key provision in the ACA; these
systems better coordinate care and improve quality - CORRECT ANSWER - Accountable
Care Organizations
Which of the following is synonymous with an EHR? - CORRECT ANSWER - None of
the above
U.S. annual health care expenditures far outstrip those of 7 other developed nations. In
relationship with expenditures, U.S. health population status ranking on critical indicators in
comparison with those other developed nations is: - CORRECT ANSWER - Dismally
lower
The U.S. healthcare delivery system has numerous stakeholders. In terms of financial power,
control of delivery system parameters for the majority of Americans, and influence on consumers
and providers of health care, which of the following pairs of stakeholders is the most influential:
- CORRECT ANSWER - Government and private health insurers
Of the levels of prevention associated with the natural history of disease, primary prevention
refers to: - CORRECT ANSWER - health education and specific protection
,The service priorities of the U.S. health care system reflect America's fascination with dramatic
high-tech medicine. As a result: - CORRECT ANSWER - all of the above
Americans spend $9 billion + each year on alternative and complementary therapies. This trend
has caused: - CORRECT ANSWER - many private insurers and Medicare and Medicaid to
provide benefit coverage for certain treatments
In the past, patient behaviors within the health care delivery system were formed from the
authoritarian positions of better-educated providers who expected patients to be compliant and
grateful. Today, health care providers and consumers: - CORRECT ANSWER - encourage
more proactive roles for patients' participation in health care decisions with "shared decision-
making"
Potential conflicts of interest occur when physicians own or invest in businesses (e.g. diagnostic,
medical supply companies) to which they can refer patients to generate profits. In response to
these physician conflict of interest issues: - CORRECT ANSWER - The ACA includes
"Sunshine provisions" require reporting of all financial transactions and transfers of value
between pharmaceutical/biologic product manufacturers and physicians, hospitals and other
entities reimbursed by the federal government
In the natural history of a disease, the pre-pathogenesis period refers to: - CORRECT
ANSWER - Behavioral, genetic, environmental and other factors that may contribute to an
individual's likelihood of contracting a disease
Long term care needs of older, chronically ill Americans pose a particular delivery system
challenge because: - CORRECT ANSWER - Neither Medicare nor private insurance
support ongoing, non-acute services
As early as the 19th century some Americans carried "health insurance" through employers,
fraternal orders, guilds, trade associations, unions or commercial insurance companies. However
unlike health insurance of today, these insurance policies only provided for: - CORRECT
ANSWER - Fixed payments to compensate for lost wages due to injury, sickness or
disability
, The Oregon Death with Dignity Act was a response to which of the following? - CORRECT
ANSWER - public and professional concerns about painful and demeaning terminal
medical care
The explosion of science and technology in the 1970s resulted in which of the following? -
CORRECT ANSWER - All of the above
In its early origins in colonial America, the patient/physician relationship can be best
characterized as: - CORRECT ANSWER - Personal, confidential and simple with
payments based on patients' financial capacity
Blue Cross Hospital Insurance, the predominant form of health insurance for decades, was
modeled after: - CORRECT ANSWER - Baylor University Hospital's school teachers plan
A central provision of the ACA to assure health care coverage for most Americans is: -
CORRECT ANSWER - the individual mandate
The major health care advances of the second half of the 20th century were in the area of: -
CORRECT ANSWER - vaccines and antibiotics to prevent and control infectious diseases,
tranquilizers, the birth control pill
The American Medical Association's initial reaction to Blue Cross hospital insurance plans
suggested that the plans: - CORRECT ANSWER - Were unsound and unethical
Two primary issues that concerned many regarding the ACA: - CORRECT ANSWER -
individual mandate & Medicaid expansion
The goals of health information technology: - CORRECT ANSWER - Both A (improve
health care quality) and B (reduce health care costs)
