Exam 9: Health Care Systems and Policy

​Match the definition in the left column with its correct term in the right column. Options will only be used once. -​Health insurance contract that is made with an employer and covers a group of employees

A prospective payment system involves hospitals being paid a fixed sum per case according to a schedule of diagnosis-related groups.

The Children's Health Insurance Program initiative was designed to reach children who are part of working families with incomes too high to qualify for Medicaid but too low to afford private health insurance.

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. -​Social Security Administration handles enrollment

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. -​Federal-state partnership assistance program

The largest component of national health care expenditures is ____.

Explain why health promotion is a major component of health care reform at the national level.

For the past several decades, the dominant health model has been the ____.

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. -​Assists individuals with end-stage renal disease

The biomedical approach to medicine underestimates and underemphasizes behavioral and lifestyle influences on disease.

The Affordable Care Act (ACA) includes regulations on private market health plans that allow employers to insure participants based on current health status.

Enrolled Medicare MNT providers are able to bill Medicare for MNT services provided to Medicare beneficiaries with ____ using specified codes.

​Match the definition in the left column with its correct term in the right column. Options will only be used once. -​Payment made by a third party

Discuss some of the current trends and issues that will shape the future of health care.

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 trust funds from Social Security

Use of generic drugs is one method that has been utilized to help contain the costs of health care.

The two most notable gaps in Medicare coverage have been ____.

What best describes a benefit of a point of service (POS) plan?

The Medicare Modernization Act provides what benefit as part of optional coverage for Medicare recipients?

You have been asked to present arguments in favor of reimbursable nutrition services to an HMO benefits coordinator. What benefits of nutrition intervention would you highlight in your discussion?