Question 1

Which action would help decrease the total health care costs in the United States?

Accepted Answer

A) Consolidate major health care facilities while expanding neighborhood primary care clinics 
B) Continue the move to computer-based medical records and other efficiencies in informatics 
C) Decrease current fraud and abuse 
D) Streamline and make more consistent all documents needed for third-party reimbursement 
A) Consolidate major health care facilities while expanding neighborhood primary care clinics 
B) Continue the move to computer-based medical records and other efficiencies in informatics 
C) Decrease current fraud and abuse 
D) Streamline and make more consistent all documents needed for third-party reimbursement

Question 2

Who may receive benefits under Medicare? (Select all that apply.)

Accepted Answer

A) Federal employees 
B) Persons aged 55 to 65 years who have bought into the system 
C) Persons with end-stage renal disease 
D) Those over 65 years of age,if eligible for Social Security benefits 
E) Those who are dependents of elderly grandparents,usually because their parents are in prison as a result of drug abuse
F)Those with permanent disabilities 
A) Federal employees 
B) Persons aged 55 to 65 years who have bought into the system 
C) Persons with end-stage renal disease 
D) Those over 65 years of age,if eligible for Social Security benefits 
E) Those who are dependents of elderly grandparents,usually because their parents are in prison as a result of drug abuse
F)Those with permanent disabilities

Question 3

Which best describes the strengths of the American health care system? (Select all that apply.)

Accepted Answer

A) Offering the availability and use of technological advances in equipment and procedures 
B) Having the ability to overcome concerns regarding access and rationing 
C) Providing the highest quality of life among any industrialized nation 
D) Having the lowest maternal and infant mortality rate among industrialized nations 
E) Leading the world in laboratory and clinical research
F)Creating the best patient care outcomes 
A) Offering the availability and use of technological advances in equipment and procedures 
B) Having the ability to overcome concerns regarding access and rationing 
C) Providing the highest quality of life among any industrialized nation 
D) Having the lowest maternal and infant mortality rate among industrialized nations 
E) Leading the world in laboratory and clinical research
F)Creating the best patient care outcomes

Question 4

Which best describes a flaw of indemnity plans?

Accepted Answer

A) Blue Cross and Blue Shield had a great idea,but they went bankrupt 
B) Cost sharing was expected of Blue Cross and Blue Shield enrollees 
C) Enrollees could not choose their provider or manage their own care 
D) Plans lacked any incentives to contain costs. 
A) Blue Cross and Blue Shield had a great idea,but they went bankrupt 
B) Cost sharing was expected of Blue Cross and Blue Shield enrollees 
C) Enrollees could not choose their provider or manage their own care 
D) Plans lacked any incentives to contain costs.

Question 5

Which best describes what physicians did to compete with new competition from health maintenance organizations (HMOs)?

Accepted Answer

A) Accepted employment directly under the insurance company 
B) Organized preferred provider organizations (PPOs)to negotiate with insurance companies 
C) Created private practices with colleagues within hospital medical complexes 
D) Decided to strike and refused to work in the new HMOs 
A) Accepted employment directly under the insurance company 
B) Organized preferred provider organizations (PPOs)to negotiate with insurance companies 
C) Created private practices with colleagues within hospital medical complexes 
D) Decided to strike and refused to work in the new HMOs

Question 6

Which best describes how the federal government determines which projects are awarded special funding for health care?

Accepted Answer

A) Those that are consistent with societal priorities,such as Healthy People 2020 
B) Those that are supported by legislators 
C) Those that are written by health care organizations that have special needs 
D) Those that are consistent with the state's long-term health goals 
A) Those that are consistent with societal priorities,such as Healthy People 2020 
B) Those that are supported by legislators 
C) Those that are written by health care organizations that have special needs 
D) Those that are consistent with the state's long-term health goals

Question 7

Which statement best describes the message that public health leaders are trying to emphasize to the public?

Accepted Answer

A) Assume responsibility for your own health by choosing healthy behaviors 
B) Have a primary physician and get yearly checkups 
C) Obtain immunizations and screenings when they are offered 
D) Support legislative efforts to improve our medical care system 
A) Assume responsibility for your own health by choosing healthy behaviors 
B) Have a primary physician and get yearly checkups 
C) Obtain immunizations and screenings when they are offered 
D) Support legislative efforts to improve our medical care system

Question 8

Why did employers decide to offer health insurance as an employee benefit?

Accepted Answer

A) Hospitals and physicians quit offering charity care to those who could not pay 
B) Society was focused on not having to pay for doctor visits and other needed health benefits 
C) Teachers were role models for unions to demand insurance as a benefit 
D) To obtain and retain the limited number of persons available to work when government rules prohibited raising wages,insurance was offered. 
A) Hospitals and physicians quit offering charity care to those who could not pay 
B) Society was focused on not having to pay for doctor visits and other needed health benefits 
C) Teachers were role models for unions to demand insurance as a benefit 
D) To obtain and retain the limited number of persons available to work when government rules prohibited raising wages,insurance was offered.

Question 9

Which statements best describe an unfortunate consequence of using diagnosis-related groups (DRGs)to determine reimbursement? (Select all that apply.)

Accepted Answer

A) Insurance companies had to greatly increase their funding from employers 
B) The incentive was to undertreat and underuse health resources 
C) Health care providers had to accept losses for each patient treated 
D) Health care providers learned to cheat the system 
E) Health care providers refused to accept more patients whose reimbursement was based on DRGs
F)High quality of care was no longer assured. 
A) Insurance companies had to greatly increase their funding from employers 
B) The incentive was to undertreat and underuse health resources 
C) Health care providers had to accept losses for each patient treated 
D) Health care providers learned to cheat the system 
E) Health care providers refused to accept more patients whose reimbursement was based on DRGs
F)High quality of care was no longer assured.

Question 10

Which best describes a carve-out service?

Accepted Answer

A) A particular service that is offered only by a designated provider or group 
B) A particular procedure that receives limited reimbursement 
C) A particular treatment is not allowed within a particular diagnosis 
D) A particular prescription drug that is only available to those with certain conditions. 
A) A particular service that is offered only by a designated provider or group 
B) A particular procedure that receives limited reimbursement 
C) A particular treatment is not allowed within a particular diagnosis 
D) A particular prescription drug that is only available to those with certain conditions.

Question 11

Which best describes how eligibility for Medicaid services is determined? (Select all that apply.)

Accepted Answer

A) Anyone over age 65 years who is eligible for Social Security benefits may apply for Medicaid 
B) Baseline eligibility is established by the federal government,but states may be more lenient 
C) Children in low-income families may be eligible for free care 
D) Eligibility depends on family size and total family income 
E) Federal government establishes eligibility and gives funds to the states in reimbursement for this care
F)State government establishes guidelines for whether to participate and who will be covered. 
A) Anyone over age 65 years who is eligible for Social Security benefits may apply for Medicaid 
B) Baseline eligibility is established by the federal government,but states may be more lenient 
C) Children in low-income families may be eligible for free care 
D) Eligibility depends on family size and total family income 
E) Federal government establishes eligibility and gives funds to the states in reimbursement for this care
F)State government establishes guidelines for whether to participate and who will be covered.

Question 12

Which statements best describe what was unfortunate about the original private health insurance plans that were developed? (Select all that apply.)

Accepted Answer

A) Because providers were paid for any service they gave,it was economically advantageous for them to give as much care as possible 
B) Health care costs increased very rapidly 
C) Health education and health promotion interventions were not included in the idea of health insurance 
D) It was immediately seen how much profit could be made by owning or managing an insurance company 
E) Patients wanted any and all care that might help,regardless of how expensive it was
F)There was no limit on what care could be sought and given. 
A) Because providers were paid for any service they gave,it was economically advantageous for them to give as much care as possible 
B) Health care costs increased very rapidly 
C) Health education and health promotion interventions were not included in the idea of health insurance 
D) It was immediately seen how much profit could be made by owning or managing an insurance company 
E) Patients wanted any and all care that might help,regardless of how expensive it was
F)There was no limit on what care could be sought and given.

Question 13

Which best describes why large employers would decide to self-insure?

Accepted Answer

A) To claim to offer more benefits to employees 
B) To have more control over health care providers 
C) To be more effective at keeping employees happy 
D) To reduce administrative costs charged by insurance companies 
A) To claim to offer more benefits to employees 
B) To have more control over health care providers 
C) To be more effective at keeping employees happy 
D) To reduce administrative costs charged by insurance companies

Question 14

Which statement best describes what happened to health care providers during the Great Depression?

Accepted Answer

A) The amount of charity care greatly increased 
B) Both hospitals and physicians went bankrupt 
C) Government funding was legislated to assist those in need 
D) Public health greatly expanded to care for those in need. 
A) The amount of charity care greatly increased 
B) Both hospitals and physicians went bankrupt 
C) Government funding was legislated to assist those in need 
D) Public health greatly expanded to care for those in need.

Question 15

Which is the best definition of economics?

Accepted Answer

A) Assets that can be traded for different assets 
B) Income and outgo of monies 
C) Science of allocation of resources 
D) Study of goods,services,talents,and transportation 
A) Assets that can be traded for different assets 
B) Income and outgo of monies 
C) Science of allocation of resources 
D) Study of goods,services,talents,and transportation

Which action would help decrease the total health care costs in the United States?

Who may receive benefits under Medicare? (Select all that apply.)

Which best describes the strengths of the American health care system? (Select all that apply.)

Which best describes a flaw of indemnity plans?

Which best describes what physicians did to compete with new competition from health maintenance organizations (HMOs)?

Which best describes how the federal government determines which projects are awarded special funding for health care?

Which statement best describes the message that public health leaders are trying to emphasize to the public?

Why did employers decide to offer health insurance as an employee benefit?

Which statements best describe an unfortunate consequence of using diagnosis-related groups (DRGs)to determine reimbursement? (Select all that apply.)

Which best describes a carve-out service?

Which best describes how eligibility for Medicaid services is determined? (Select all that apply.)

Which statements best describe what was unfortunate about the original private health insurance plans that were developed? (Select all that apply.)

Which best describes why large employers would decide to self-insure?

Which statement best describes what happened to health care providers during the Great Depression?

Which is the best definition of economics?

Health: a Community View

Historical Factors: Community Health Nursing in Context

Thinking Upstream: Nursing Theories and Population-Focused Nursing Practice

Policy,politics,legislation,and Community Health Nursing

The Health Care System

Cultural Diversity and Community Health Nursing

Environmental Health

Health in the Global Community

Child and Adolescent Health

Womens Health

Mens Health

Senior Health

Family Health

Populations Affected by Disabilities

Veterans Health

Homeless Populations

Rural and Migrant Health

Populations Affected by Mental Illness

Communicable Disease

Substance Abuse

Violence

Natural and Man-Made Disasters

School Health

Occupational Health

Filters

Exam 12: Economics of Health Care

Which action would help decrease the total health care costs in the United States?

Who may receive benefits under Medicare? (Select all that apply.)

Which best describes the strengths of the American health care system? (Select all that apply.)

Which best describes a flaw of indemnity plans?

Which best describes what physicians did to compete with new competition from health maintenance organizations (HMOs)?

Which best describes how the federal government determines which projects are awarded special funding for health care?

Which statement best describes the message that public health leaders are trying to emphasize to the public?

Why did employers decide to offer health insurance as an employee benefit?

Which statements best describe an unfortunate consequence of using diagnosis-related groups (DRGs)to determine reimbursement? (Select all that apply.)

Which best describes a carve-out service?

Which best describes how eligibility for Medicaid services is determined? (Select all that apply.)

Which statements best describe what was unfortunate about the original private health insurance plans that were developed? (Select all that apply.)

Which best describes why large employers would decide to self-insure?

Which statement best describes what happened to health care providers during the Great Depression?

Which is the best definition of economics?

Health: a Community View

Historical Factors: Community Health Nursing in Context

Thinking Upstream: Nursing Theories and Population-Focused Nursing Practice

Policy,politics,legislation,and Community Health Nursing

The Health Care System

Cultural Diversity and Community Health Nursing

Environmental Health

Health in the Global Community

Child and Adolescent Health

Womens Health

Mens Health

Senior Health

Family Health

Populations Affected by Disabilities

Veterans Health

Homeless Populations

Rural and Migrant Health

Populations Affected by Mental Illness

Communicable Disease

Substance Abuse

Violence

Natural and Man-Made Disasters

School Health

Occupational Health

Filters