Exam 9: Health Care Systems and Policy

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To determine the rating of a particular health care system, one must examine three crucial variables: cost, quality, and ____.

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Verified

B

Match the description in the left column with one of the two programs in the right column. The same letter may be used more than once. -​Financed by taxes from federal, state, and local sources

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Correct Answer:
Verified

A

​Match the HMO model with its correct description. Options will only be used once. -​HMO contracts with one or more multispecialty group practices that contract to provide health care services to its members.

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A

Government health insurance plans are provided through an employer or a union.

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Medicare pays qualified dietitians and nutrition professionals who enroll in the Medicare program as providers, regardless of where they provide medical nutrition therapy (MNT) services.

(True/False)
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List and describe several current health care cost containment measures.

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Paradoxically, U.S. health care treats preventable illness rather than investing in prevention.

(True/False)
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In some HMO programs, the provider receives a capitation payment, usually a specific amount per enrollee per month, to provide a defined group of health care services.

(True/False)
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Benefits provided by Medicare Part A include ____.

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A specific issue that Healthy People 2020will monitor over the next decade is decreasing use of home health services and increasing hospital emergency use.

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Relative weight reflects the cost of caring for a patient in a particular category with a diagnosis-related group (DRG).

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As currently used, the term "health care reform" refers to the efforts undertaken to ensure that everyone in the United States has access to affordable, quality health care.

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Match the description in the left column with one of the two programs in the right column. The same letter may be used more than once. -​Consists of Part A and Part B

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When nutrition services are integrated into health care and diet and nutritional status change, what outcome is most likely to occur?

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Cost, access, and quality of health care are interrelated; manipulating one has an impact on the others.

(True/False)
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​Match the definition in the left column with its correct term in the right column. Options will only be used once. -​A prepaid plan that both finances and delivers health care

(Multiple Choice)
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​Match the definition in the left column with its correct term in the right column. Options will only be used once. -​Expense that must be incurred by an insured person before an insurer will assume any liability for the covered services

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​Explain why HMOs are viewed as a more cost-effective way of practicing medicine than the traditional fee-for-service systems.

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​Match the definition in the left column with its correct term in the right column. Options will only be used once. -A group of providers who contract with fee-for-service insurance companies to provide medical care for a discounted fee

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The level of health care activity is expected to grow as a result of various factors, including ____.

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